Individual provider Active NPI

Aliza Kaye, DDS

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1710484068
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
060636 Issued in NY
Practice address
5683 Riverdale Ave
Bronx, NY 10471
Phone
(718) 884-8808
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 060636 NY Primary

Addresses

Primary practice location

5683 Riverdale Ave
Bronx, NY 10471

Mailing address

5683 Riverdale Ave
Bronx, NY 10471-2127

Other practice location 1

200 Old Country Rd Ste 460
Mineola, NY 11501-4293
Phone (516) 663-1152

Other practice location 2

5683 Riverdale Ave
Bronx, NY 10471
Phone (718) 884-8808

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

LicenseStateTypeSpecialty
060636NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1710484068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5683 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5683 RIVERDALE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10471",
            "telephone_number": "718-884-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Old Country Rd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Mineola",
            "state": "NY",
            "postal_code": "115014293",
            "country_code": "US",
            "telephone_number": "516-663-1152",
            "fax_number": "516-663-4793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5683 Riverdale Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "10471",
            "country_code": "US",
            "telephone_number": "718-884-8808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAYE",
        "first_name": "ALIZA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060636",
            "primary": true
        }
    ],
    "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 Dec 4, 2019; 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.