Organization Active NPI

Jackson Heights Dental Group

  • General Practice Dentistry
  • Jackson Heights, NY
National Provider Identifier
1730329004
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JACKSON HEIGHTS DENTAL GROUP
Practice address
8509 37TH Ave
Basement
Jackson Heights, NY 11372-7344
Phone
(718) 651-4523
NPI assigned
Feb 26, 2009
Last updated
Feb 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Dr. Gilbert Berookhim, D.D.S.
Title
Dentist
Phone
(718) 651-4523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8509 37TH Ave
Basement
Jackson Heights, NY 11372-7344

Mailing address

85-09 37 Avenue
Basement
Jackson Heights, NY 11372
Phone (718) 651-4523

National Provider Directory

National Provider Directory

Locations

8509 37th Ave
Bsmt
Jackson Heights, NY 11372
Phone (718) 651-4523

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1730329004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85-09 37 AVENUE",
            "address_2": "BASEMENT",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-651-4523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8509 37TH AVE",
            "address_2": "BASEMENT",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727344",
            "telephone_number": "718-651-4523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEIGHTS DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "BEROOKHIM",
        "authorized_official_first_name": "GILBERT",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-651-4523",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; 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.