NPIMap

Organization Active NPI

Weitzman Oral Surgery and Implantology

Doing business as Oral Surgery and Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Forest Hills, NY
National Provider Identifier
1760762934
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
033709 Issued in NY
Legal business name
WEITZMAN ORAL SURGERY AND IMPLANTOLOGY
Doing business as
Oral Surgery and Implant Center
Practice address
11203 Queend Blvd
Suite 202
Forest Hills, NY 11375
Phone
(718) 275-5700
Fax
(718) 275-5279
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Howard Weitzman, DDSNPI 1750582490
Title
Owner
Phone
(718) 275-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 033709 NY Primary

Addresses

Primary practice location

11203 Queend Blvd
Suite 202
Forest Hills, NY 11375

Mailing address

11203 Queend Blvd
Suite 202
Forest Hills, NY 11375
Phone (718) 275-5700

Other names 1

  • Oral Surgery and Implant Center Doing business as

National Provider Directory

National Provider Directory

Locations

11203 Queens Blvd
Ste 202
Forest Hills, NY 11375
Phone (718) 275-5700

Practitioners & affiliated clinicians

Practitioners 4

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": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1760762934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 QUEEND BLVD",
            "address_2": "SUITE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-275-5700",
            "fax_number": "718-275-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 QUEEND BLVD",
            "address_2": "SUITE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-275-5700",
            "fax_number": "718-275-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEITZMAN ORAL SURGERY AND IMPLANTOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "WEITZMAN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-275-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "033709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery and Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.