Active NPI
Ayub Ali, DDS
- General Practice Dentistry
- Staten Island, NY
National Provider Identifier
1770962870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10449
- Practice address
- 475 Seaview Ave
Staten Island, NY 10305-3436 - Phone
- (718) 226-9877
- NPI assigned
- May 21, 2015
- Last updated
- Aug 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10449 | NC | Primary |
Addresses
Primary practice location
475 Seaview Ave
Staten Island, NY 10305-3436
Mailing address
5940 Fairview Rd
Suite# 103
Charlotte, NC 28210-3125
Phone (704) 494-7990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10449 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1770962870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5940 FAIRVIEW RD",
"address_2": "SUITE# 103",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282103125",
"telephone_number": "704-494-7990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 SEAVIEW AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103053436",
"telephone_number": "718-226-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "AYUB",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-21",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "10449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.