General Dentistry of Staten Island PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GENERAL DENTISTRY OF STATEN ISLAND PLLC

Practice address

2936 Hylan Blvd
Staten Island, NY 10306-4056

Phone

(718) 987-6453

Fax

(718) 980-4588

NPI assigned

Jan 7, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Anthony Diaz, DDSNPI 1780044529

Title

Owner Dentist

Phone

(718) 987-6453

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Nicholas Anthony Diaz, DDS

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1780044529
  NPD Authorized official

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

{
    "created_epoch": "1767744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1689531139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2936 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064056",
            "telephone_number": "718-987-6453",
            "fax_number": "718-980-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064056",
            "telephone_number": "718-987-6453",
            "fax_number": "718-980-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL DENTISTRY OF STATEN ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-07",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "718-987-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tigist Gemechu, MD
• Gemini OB/GYN, P.C.
• Mark Genco, DMD
• Stephanie Genco
• Christine G Gendy, OT
• General Podiatric Care LLC
• General Vision Services LLC
• General Vision Services of Staten Island LLC
• Geneva Supply Group Inc
• Dandan Geng, MD

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.