Organization Active NPI

East 19TH Street Dental

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1740700582
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051610 Issued in NY
Legal business name
EAST 19TH STREET DENTAL
Practice address
118 E 19TH St
New York, NY 10003-2127
Phone
(212) 979-6363
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
David Janash
Title
Owner
Phone
(917) 915-4504

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 051610 NY
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 051610 NY Primary

Addresses

Primary practice location

118 E 19TH St
New York, NY 10003-2127

Mailing address

118 E 19TH St
New York, NY 10003-2127

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1740700582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 E 19TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032127",
            "telephone_number": "212-979-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST 19TH STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "JANASH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-915-4504"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "051610",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.