Organization Active NPI

Park South Dental P.L.L.C.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1689853459
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038052 Issued in NJ
Legal business name
PARK SOUTH DENTAL P.L.L.C.
Practice address
1530 Unionport Rd
Bronx, NY 10462-7801
Phone
(718) 892-2200
Fax
(718) 892-5630
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Jasmin Sterling, DMDNPI 1902080872
Title
Dentist
Phone
(718) 892-2200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 038052 NJ Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 049359 NY

Addresses

Primary practice location

1530 Unionport Rd
Bronx, NY 10462-7801

Mailing address

1530 Unionport Rd
Bronx, NY 10462-7801
Phone (718) 892-2200

National Provider Directory

National Provider Directory

Locations

1530 Unionport Rd
Bronx, NY 10462
Phone (212) 980-1408

Practitioners & affiliated clinicians

Practitioners 3

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": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1689853459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 UNIONPORT RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627801",
            "telephone_number": "718-892-2200",
            "fax_number": "718-892-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 UNIONPORT RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627801",
            "telephone_number": "718-892-2200",
            "fax_number": "718-892-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SOUTH DENTAL P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "JASMIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-892-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "038052",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049359",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.