Tri-Boro Dental Facial Trauma Consulting P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040164-1 Issued in NY

Legal business name

TRI-BORO DENTAL FACIAL TRAUMA CONSULTING P.C.

Practice address

1847 Mott Ave
2ND Floor
Far Rockaway, NY 11691-4201

Phone

(718) 327-7000

Fax

(718) 471-2071

NPI assigned

Feb 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Howard Roth, D.D.S.

Title

Owner

Phone

(718) 327-7000

Specialties & licenses 1

Addresses

Other names 1

• tri-boro dental Other name

Locations

Practitioners 1

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

• Javier A Samudio, DDS

  • Dentist
  • Far Rockaway, NY
  • NPI 1679534895
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699801084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 EDWARD AVENUE",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "11598",
            "telephone_number": "718-327-7000",
            "fax_number": "718-471-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1847 MOTT AVE",
            "address_2": "2ND FLOOR",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914201",
            "telephone_number": "718-327-7000",
            "fax_number": "718-471-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-BORO DENTAL FACIAL TRAUMA CONSULTING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-327-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040164-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "tri-boro dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Total Family Care of 5 Towns & Rockaway
• Sabahat Touseef
• Elisheva D Trachtenberg, LMSW
• R Alana Trachtenberg
• Miriam S Traube
• Tri-Med Health Pavilion LLC
• Torrel Anthony Trim
• Narcisa Lissette Trivino, MSW
• Sharon A Tsadik, P.A.
• Rachel P. Turbiner, MSCCC-SLP/CCCH

• General Practice Dentistry in Far Rockaway, NY
• Providers in Far Rockaway, 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 Aug 22, 2020; 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.