Pediatric Dentistry of Boro Park PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTISTRY OF BORO PARK PLLC

Practice address

1526 50TH St
Brooklyn, NY 11219-3745

Phone

(718) 854-3333

NPI assigned

Apr 29, 2021

Last updated

Apr 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shalom Blobstein, DMDNPI 1043607559

Title

Dr/Owner

Phone

(917) 450-4990

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shalom Blobstein, DMD

  • Dentist
  • Valley Stream, NY
  • NPI 1043607559
  NPD Authorized official
• Robert M. Weiss, DDS

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1336398015
  NPD (past)

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1730762642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HALYARD RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115812813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 50TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193745",
            "telephone_number": "718-854-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF BORO PARK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "BLOBSTEIN",
        "authorized_official_first_name": "SHALOM",
        "authorized_official_title_or_position": "DR/OWNER",
        "authorized_official_telephone_number": "917-450-4990",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "address_1": "1526 50th St",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112193745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pediatric Care
• Pediatric Care of Newyork PC
• Pediatric Dental and Associates of Brooklyn PC
• Pediatric Dental Associates PC
• Pediatric Dental Associates, PC
• Pediatric Dentistry of Brooklyn PLLC
• Pediatric Dentistry Under Ga (Sedation Pediatric Dentistry)
• Pediatric Occupational Therapy Services of Brooklyn, P.C.45
• Pediatric Specialty Consultation Services
• Pediatric Surgery FPP

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.