Roosevelt Dental Care P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ROOSEVELT DENTAL CARE P.C.

Practice address

8215 Roosevelt Ave
2ND Floor
Jackson Heights, NY 11372-7034

Phone

(718) 205-7709

Fax

(718) 205-7718

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. Ofir Baruk, D.D.S.NPI 1144435868

Title

President

Phone

(718) 205-7709

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Ofir Baruk, DDS

  • Dentist
  • Jackson Heights, NY
  • NPI 1144435868
  NPD (past) Authorized official
• Edwin Ostiago, D.D.S

  • Dentist
  • Jackson Heights, NY
  • NPI 1841403565
  NPD (past)
• Godrick Allister Taylor

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1922261916
  NPD (past)

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": "1760672927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727034",
            "telephone_number": "718-205-7709",
            "fax_number": "718-205-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 ROOSEVELT AVE",
            "address_2": "2ND FLOOR",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727034",
            "telephone_number": "718-205-7709",
            "fax_number": "718-205-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOSEVELT DENTAL CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BARUK",
        "authorized_official_first_name": "OFIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-205-7709",
        "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": "02834724",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bonij Ronjan
• Roosevelt Ave Pain Medicine PLLC
• Roosevelt Cardio Vascular Diagnostic, P.C.
• Roosevelt City Pharmacy Inc (City Pharmacy)
• Roosevelt Dental Care II P.C.
• Roosevelt Drug Corp (Roosevelt Drugs and Surgicals)
• Roosevelt Optometry Associates PLLC (Roosevelt Family Eye Care)
• Roosevelt Women's Medical Care, PC
• Angie Rosado
• Grisel Rosado, RN

• 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.