Ali Attaie, D.D.S.
Individual provider Active NPI Pediatric Dentistry · Woodside, NY
NPI 1811060692 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1811060692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 052251 (NY)
- Practice address
- 39-05 61St Street
Second Floor
Woodside, NY 11377-3566 - Phone
- (718) 899-5437
- Fax
- (718) 899-5203
- NPI assigned
- Nov 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250728002232 | NY | Practitioner - Dentist | 4587171236 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current |
Accepting new patients | |
| Kids Dental Village | Pediatric Dentistry | Past | Accepting new patients |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 052251 | NY | Yes |
Addresses
Primary practice location
39-05 61St Street
Second Floor
Woodside, NY 11377-3566
Mailing address
39-05 61St Street
Second Floor
Woodside, NY 11377-3566
Phone (718) 899-5437
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02694984 | Medicaid | NY |
Other providers in Woodside, NY
- Daniela Arnao
- Wanda Arocho
- Irene Arraez Hernandez
- Beatrice Artim
- Astoria Surgical Supplies Corp
- Arshalous Talar Attarian
- Austin Chemists Inc
- Shavonne Ayinla
- Ahmed M Ayoub
- Krishna Rao Badhey
All providers in Woodside, NY · Pediatric Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.