Organization Active NPI

Park Sixty Dental PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1790515237
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PARK SIXTY DENTAL PC
Practice address
110 E 60TH St RM 902
New York, NY 10022-1794
Phone
(212) 804-7197
Fax
(929) 474-6554
NPI assigned
Aug 7, 2024
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Neil McGrath
Title
Billing Coordinator
Phone
(212) 804-7197

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

110 E 60TH St RM 902
New York, NY 10022-1794

Mailing address

110 E 60TH St RM 902
New York, NY 10022-1794
Phone (212) 804-7197

National Provider Directory

National Provider Directory

Locations

110 E 60th St
Rm 902
New York, NY 10022
Phone (212) 804-7197

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1790515237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 902",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221794",
            "telephone_number": "212-804-7197",
            "fax_number": "929-474-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 60TH ST RM 902",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221794",
            "telephone_number": "212-804-7197",
            "fax_number": "929-474-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK SIXTY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "212-804-7197"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "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 7, 2024; 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.