Active NPI
Nathaniel A Saed, DMD
- Pediatric Dentistry
- Brooklyn, NY
National Provider Identifier
1700406683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 061937
- Practice address
- 55 Greene Ave Ste Lla
Brooklyn, NY 11238-6432 - Phone
- (718) 230-7676
- NPI assigned
- Apr 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 019.032975 | IL | |
| Pediatric Dentistry | 1223P0221X | 061937 | NY | Primary |
Addresses
Primary practice location
55 Greene Ave Ste Lla
Brooklyn, NY 11238-6432
Mailing address
55 Greene Ave Ste Lla
Brooklyn, NY 11238-6432
Phone (718) 230-7676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.032975 | IL | MD | Pediatric Dentist |
| 061937 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1700406683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 GREENE AVE STE LLA",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386432",
"telephone_number": "718-230-7676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 GREENE AVE STE LLA",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112386432",
"telephone_number": "718-230-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAED",
"first_name": "NATHANIEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-21",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "IL",
"license": "019.032975",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "061937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.