515Oms LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

515OMS LLC

Doing business as

515Oms

Practice address

515 Madison Avenue, 28TH Floor
Suite B
New York, NY 10022

Phone

(212) 765-5001

Fax

(212) 813-0808

NPI assigned

Aug 12, 2024

Last updated

Oct 8, 2024By 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

Dr. Andrei Mark, DDS

Title

Owner

Phone

(212) 765-5030

Specialties & licenses 1

Addresses

Other names 1

• 515OMS Doing business as

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.

• Luke C Soletic, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1164879581
  NPD
• David E Sheinkopf, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Durham, NC
  • NPI 1174568174
  NPD (past)

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

{
    "created_epoch": "1723420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1730910704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MADISON AVENUE, 28TH FLOOR",
            "address_2": "SUITE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-765-5030",
            "fax_number": "212-813-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVENUE, 28TH FLOOR",
            "address_2": "SUITE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022",
            "telephone_number": "212-765-5001",
            "fax_number": "212-813-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "515OMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "ANDREI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-765-5030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "515OMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "515OMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.