Garden City Dentistry of New York

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GARDEN CITY DENTISTRY OF NEW YORK

Practice address

48 New Hyde Park Rd
Garden City, NY 11530-3909

Phone

(516) 747-7841

NPI assigned

Jun 8, 2022

Organization subpart

No

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

Authorized official

Name

Jae Pak, DDSNPI 1275781163

Title

President

Phone

(516) 747-7841

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jae Hyeong Pak, DDS

  • General Practice Dentistry
  • Garden City, NY
  • NPI 1275781163
  NPD Authorized official

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1760111249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 NEW HYDE PARK RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 NEW HYDE PARK RD",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115303909",
            "telephone_number": "516-747-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN CITY DENTISTRY OF NEW YORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-747-7841",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Ganz, MS, RDN, CDN
• Jules E Garbus, M.D.
• Garden City Audiology
• Garden City Chemists Inc
• Garden City Colon & Rectal Surgical Practice, P.C.
• Garden City Dentistry PC
• Garden City Dermatology, PC
• Garden City Dermatology, PC
• Garden City Endodontics, PLLC
• Garden City Mall Vision Express LLC

• Dental Clinic/Center in Garden City, NY
• Providers in Garden City, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.