Active NPI
Jeffrey Wayne Linden
- Endodontics
- Ny, NY
National Provider Identifier
1831368331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 032776
- Practice address
- 170 West End Ave
Ny, NY 10023 - Phone
- (212) 595-1161
- NPI assigned
- Feb 28, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 032776 | NY | Primary |
Addresses
Primary practice location
170 West End Ave
Ny, NY 10023
Mailing address
170 West End Ave 1L
Ny, NY 10023
Phone (212) 595-1161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032776 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204156800000",
"number": "1831368331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 WEST END AVE 1L",
"city": "NY",
"state": "NY",
"postal_code": "10023",
"telephone_number": "212-595-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 WEST END AVE",
"city": "NY",
"state": "NY",
"postal_code": "10023",
"telephone_number": "212-595-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDEN",
"first_name": "JEFFREY",
"middle_name": "WAYNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-28",
"last_updated": "2008-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "032776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.