Roosevelt Dental Care II P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROOSEVELT DENTAL CARE II P.C.

Practice address

9553 Roosevelt Ave
2ND Floor
Jackson Heights, NY 11372-8028

Phone

(718) 334-0431

Fax

(718) 334-0676

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Ostiago, D.D.S.

Title

Secretary

Phone

(718) 334-0431

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1760672893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9553 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728028",
            "telephone_number": "718-334-0431",
            "fax_number": "718-334-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9553 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113728028",
            "telephone_number": "718-334-0431",
            "fax_number": "718-334-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT DENTAL CARE II P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "OSTIAGO",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "718-334-0431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02850695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metherlyn Rondon, LMHC
• Bonij Ronjan
• Roosevelt Ave Pain Medicine PLLC
• Roosevelt Cardio Vascular Diagnostic, P.C.
• Roosevelt City Pharmacy Inc
• Roosevelt Dental Care P.C.
• Roosevelt Drug Corp
• Roosevelt Optometry Associates PLLC
• Roosevelt Women'S Medical Care, PC
• Angie Rosado

• General Practice Dentistry in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.