NPIMap

Organization Active NPI

Newyorkave Dental PC

  • Dentist
  • Huntington Station, NY
National Provider Identifier
1679997456
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
NEWYORKAVE DENTAL PC
Practice address
1395 New York Ave
Huntington Station, NY 11746-1705
Phone
(163) 138-5565
NPI assigned
Feb 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nuzhat Haroon Siddiqui, DDSNPI 1770560344
Title
Owner
Phone
(631) 385-5650

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1395 New York Ave
Huntington Station, NY 11746-1705

Mailing address

20 Overbrook LN
Glen Head, NY 11545-2737
Phone (631) 385-5650

National Provider Directory

National Provider Directory

Locations

1395 New York Ave
Huntington Station, NY 11746

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1679997456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 OVERBROOK LN",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452737",
            "telephone_number": "631-385-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461705",
            "telephone_number": "163-138-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWYORKAVE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "NUZHAT",
        "authorized_official_middle_name": "HAROON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-385-5650",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.