Astoria Dental Broadway

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043641 Issued in NY

Legal business name

ASTORIA DENTAL BROADWAY

Practice address

31-72 31St St
Suite #1
Astoria, NY 11106

Phone

(929) 522-0554

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Andrew Maron, DDSNPI 1215035134

Title

Owner

Phone

(929) 522-0554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Andrew Maron, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Union, NJ
  • NPI 1215035134
  NPD Authorized official

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1730675273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31-72 31ST ST",
            "address_2": "SUITE #1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "929-522-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-72 31ST ST",
            "address_2": "SUITE #1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11106",
            "telephone_number": "929-522-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA DENTAL BROADWAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "MARON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-522-0554",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2",
            "identifier": "1215035134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Astoria Chemists, Inc
• Astoria Chiropractic Services,PLLC
• Astoria Contemporary Medical, PC
• Astoria Counseling Psychology Therapy Services, PLLC
• Astoria Dental Associates
• Astoria Dental Care PC
• Astoria Dental Group PC
• Astoria Dental LLC
• Astoria Dental PC
• Astoria Dental Studio, P.C.

• General Practice Dentistry in Astoria, NY
• Providers in Astoria, 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 9, 2018; 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.