Organization Active NPI

Woolley Dental PLLC

  • Dentist
  • Staten Island, NY
National Provider Identifier
1780898627
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0430541 Issued in NY
Legal business name
WOOLLEY DENTAL PLLC
Practice address
386 Woolley Avenue
Staten Island, NY 10314-2154
Phone
(718) 494-6060
Fax
(718) 494-8214
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Maysa K Aziz, DDSNPI 1811488000
Title
Dentist
Phone
(718) 494-6060

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 0430541 NY Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 042457 NY

Addresses

Primary practice location

386 Woolley Avenue
Staten Island, NY 10314-2154

Mailing address

386 Woolley Avenue
Staten Island, NY 10314-2154
Phone (718) 494-6060

National Provider Directory

National Provider Directory

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": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1780898627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 WOOLLEY AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142154",
            "telephone_number": "718-494-6060",
            "fax_number": "718-494-8214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 WOOLLEY AVENUE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142154",
            "telephone_number": "718-494-6060",
            "fax_number": "718-494-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOLLEY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "AZIZ",
        "authorized_official_first_name": "MAYSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-494-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "0430541",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "042457",
            "primary": false
        }
    ],
    "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 Dec 23, 2013; 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.