Organization Active NPI

Washington Heights Orthodontics PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • New York, NY
National Provider Identifier
1831638840
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WASHINGTON HEIGHTS ORTHODONTICS PLLC
Practice address
200 E 15TH St
Suite PRB
New York, NY 10003-3902
Phone
(212) 777-9177
Fax
(212) 777-9178
NPI assigned
Feb 23, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Dr. Jason Berk, DDS
Title
Owner
Phone
(212) 777-9177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

200 E 15TH St
Suite PRB
New York, NY 10003-3902

Mailing address

200 E 15TH St
Suite PRB
New York, NY 10003-3902
Phone (212) 777-9177

Other names 1

  • Gramercy Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

200 E 15th St
Ste Prb
New York, NY 10003
Phone (212) 777-9177

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1831638840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 15TH ST",
            "address_2": "SUITE PRB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033902",
            "telephone_number": "212-777-9177",
            "fax_number": "212-777-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 15TH ST",
            "address_2": "SUITE PRB",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033902",
            "telephone_number": "212-777-9177",
            "fax_number": "212-777-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON HEIGHTS ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-777-9177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gramercy Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.