Organization Active NPI

Meena Jaiswal, DDS

  • General Practice Dentistry
  • Massapequa, NY
National Provider Identifier
1740400712
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0415541 Issued in NY
Legal business name
MEENA JAISWAL, DDS
Practice address
584 Broadway
Massapequa, NY 11758-5022
Phone
(516) 797-7521
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Meena Jaiswal, DDSNPI 1326264870
Title
Owner Dentist
Phone
(516) 797-7521

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 0415541 NY Primary

Addresses

Primary practice location

584 Broadway
Massapequa, NY 11758-5022

Mailing address

584 Broadway
Massapequa, NY 11758-5022
Phone (516) 797-7521

National Provider Directory

National Provider Directory

Locations

584 Broadway
Massapequa, NY 11758
Phone (516) 797-7521

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1740400712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585022",
            "telephone_number": "516-797-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585022",
            "telephone_number": "516-797-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEENA JAISWAL, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "JAISWAL",
        "authorized_official_first_name": "MEENA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "516-797-7521",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0415541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.