NPIMap

Organization Active NPI

Lefferts 26 Dentistry PLLC

  • General Practice Dentistry
  • South Richmond Hill, NY
National Provider Identifier
1801126339
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046106 Issued in NY
Legal business name
LEFFERTS 26 DENTISTRY PLLC
Practice address
10343 Lefferts Blvd
2FL
South Richmond Hill, NY 11419-2011
Phone
(718) 827-6001
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Fereydoun KhaliliNPI 1336368141
Title
Owner
Phone
(718) 843-5500

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 046106 NY Primary

Addresses

Primary practice location

10343 Lefferts Blvd
2FL
South Richmond Hill, NY 11419-2011

Mailing address

10343 Lefferts Blvd
2FL
South Richmond Hill, NY 11419-2011
Phone (718) 827-6001

National Provider Directory

National Provider Directory

Locations

10343 Lefferts Blvd
#2
South Richmond Hill, NY 11419
Phone (718) 827-6001

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": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1801126339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10343 LEFFERTS BLVD",
            "address_2": "2FL",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192011",
            "telephone_number": "718-827-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10343 LEFFERTS BLVD",
            "address_2": "2FL",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192011",
            "telephone_number": "718-827-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEFFERTS 26 DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "FEREYDOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-843-5500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.