Jonathan Adam Flax, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

043393 Issued in NY

Practice address

221-10 Jamaica Avenue
Suite 103
Queens Village, NY 11428

Phone

(718) 464-9216

Fax

(718) 464-3953

NPI assigned

Sep 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Queens Village Dental Associates PC

  • Dentist
  • Queens Village, NY
  • NPI 1730337577
  NPD (past) Authorized official

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1780834895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221-10 JAMAICA AVENUE",
            "address_2": "SUITE 103",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "718-464-9216",
            "fax_number": "718-464-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221-10 JAMAICA AVENUE",
            "address_2": "SUITE 103",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "11428",
            "telephone_number": "718-464-9216",
            "fax_number": "718-464-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLAX",
        "first_name": "JONATHAN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Figueroa
• First Alert Dental Care, P.C.
• First Premier Care Medical, P.C.
• Mary C Fitzpatrick, RN
• FK Pharmacy Inc
• Shanice Fletcher
• Hugueline Fleurimond
• Sherby Fleurisma
• Pamela Flores, PTA
• Claudia Ximena Floresdevalgaz, LMHC

• Dentist in Queens Village, NY
• Providers in Queens Village, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.