Organization Active NPI

Charles I Resnick DDS PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1780649129
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
038453 Issued in NY
Legal business name
CHARLES I RESNICK DDS PC
Practice address
145 E 116TH St
New York, NY 10029-1352
Phone
(212) 831-3222
Fax
(212) 831-4255
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Ira Resnick, DDSNPI 1992761688
Title
Corporate President
Phone
(212) 831-3222

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 038453 NY Primary

Addresses

Primary practice location

145 E 116TH St
New York, NY 10029-1352

Mailing address

145 E 116TH St
New York, NY 10029-1352
Phone (212) 831-3222

National Provider Directory

National Provider Directory

Locations

145 E 116th St
New York, NY 10029
Phone (212) 831-3222

Practitioners & affiliated clinicians

Practitioners 1

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": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780649129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291352",
            "telephone_number": "212-831-3222",
            "fax_number": "212-831-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291352",
            "telephone_number": "212-831-3222",
            "fax_number": "212-831-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES I RESNICK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RESNICK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "IRA",
        "authorized_official_title_or_position": "CORPORATE PRESIDENT",
        "authorized_official_telephone_number": "212-831-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.