Manhattan Maxillofacial Surgery, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

048346 Issued in NY

Legal business name

MANHATTAN MAXILLOFACIAL SURGERY, PLLC

Practice address

366 5TH Ave
RM 709
New York, NY 10001-2211

Phone

(212) 629-3223

Fax

(212) 629-3466

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David L Hirsch, M.D., D.D.S.

Title

Owner

Phone

(212) 629-3223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1811108939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 5TH AVE",
            "address_2": "RM 709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012211",
            "telephone_number": "212-629-3223",
            "fax_number": "212-629-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 5TH AVE",
            "address_2": "RM 709",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012211",
            "telephone_number": "212-629-3223",
            "fax_number": "212-629-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANHATTAN MAXILLOFACIAL SURGERY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "HIRSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-629-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "048346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manhattan Internal Medicine Associates, PC
• Manhattan Internal Medicine PLLC
• Manhattan Interventional Radiology
• Manhattan Marriage and Family Therapy
• Manhattan Maxillofacial Surgery Group
• Manhattan Medical & Psychiatric Services, PC
• Manhattan Medical Arts, PLLC
• Manhattan Medical Billing
• Manhattan Medical Health Associates PC
• Manhattan Medical Health Services PC

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.