Claudia Botero-Mondul, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049554-1 Issued in NY

Practice address

49 Wadsworth Ave
Suite E
New York, NY 10033-7048

Phone

(212) 927-1112

NPI assigned

Oct 21, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1710977749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 WADSWORTH AVE",
            "address_2": "SUITE E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337048",
            "telephone_number": "212-927-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WADSWORTH AVE",
            "address_2": "SUITE E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100337048",
            "telephone_number": "212-927-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTERO-MONDUL",
        "first_name": "CLAUDIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049554-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02190898",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fatima Botasheva
• Stephen Thomas Botek, M.D.
• Mary Teresa Botelho, OD
• Josue Botello-Escalante
• Lana Boter, MD, PPLC
• Cristina Margarita Botero, NP
• Gina P Botero
• Lauren Kristen Botero, MD
• Regina A Bothwell, MS
• Jacqueline Botkin, CRNA

• General Practice Dentistry in New York, NY
• Providers in New York, 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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.