NPIMap

Organization Active NPI

Hills Park Dental

Doing business as Patricia Breen DMD

  • Dentist
  • Deer Park, NY
National Provider Identifier
1801301833
Registry record updated Dec 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52582 Issued in NY
Legal business name
HILLS PARK DENTAL
Doing business as
Patricia Breen DMD
Practice address
2053 Deer Park Ave
Deer Park, NY 11729-2110
Phone
(631) 254-6596
NPI assigned
Dec 13, 2017
Organization subpart
Yes
Parent organization
PATRICIA BREEN DMDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 20, 2017

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

Authorized official

Name
Jan Taddonio
Title
Office Manager
Phone
(631) 254-6596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 52582 NY Primary

Addresses

Primary practice location

2053 Deer Park Ave
Deer Park, NY 11729-2110

Mailing address

2053 Deer Park Ave
Deer Park, NY 11729-2110
Phone (631) 254-6596

Other names 1

  • Patricia Breen DMD Doing business as

National Provider Directory

National Provider Directory

Locations

2053 Deer Park Ave
Deer Park, NY 11729
Phone (631) 254-6596

Practitioners & affiliated clinicians

Practitioners 2

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": "1513123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1801301833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292110",
            "telephone_number": "631-254-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292110",
            "telephone_number": "631-254-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS PARK DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATRICIA BREEN DMD",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "TADDONIO",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-254-6596"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "52582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia Breen DMD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.