Hemali M Ajmera, D.D.S.
Individual provider Active NPI Dentist · Woodside, NY
NPI 1760615603 · NPPES record last updated Aug 26, 2009
Key facts
- NPI
- 1760615603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 54512 (NY)
- Practice address
- 5718 Woodside Ave
Ste 203
Woodside, NY 11377-3444 - Phone
- (718) 424-6201
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54512 | NY | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 54512 | NY | Yes |
Addresses
Primary practice location
5718 Woodside Ave
Ste 203
Woodside, NY 11377-3444
Mailing address
20934 30TH Ave
Bayside, NY 11360-2419
Phone (718) 423-6148
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.