Active NPI
Koretz 76 Dental PLLC
- General Practice Dentistry
- New York, NY
National Provider Identifier
1841121803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- KORETZ 76 DENTAL PLLC
- Practice address
- 363 E 76TH St Ste 1a
New York, NY 10021-2422 - Phone
- (212) 734-0234
- Fax
- (212) 734-3898
- NPI assigned
- May 28, 2026
- Last updated
- May 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jesse Koretz, DDS
- Title
- Associate
- Phone
- (212) 734-0234
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
363 E 76TH St Ste 1a
New York, NY 10021-2422
Mailing address
363 E 76TH St Ste 1a
New York, NY 10021-2422
Phone (212) 734-0234
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831217520 | Other | NY | INDIVIDUAL JAMES KORETZ |
| 1528650066 | Other | NY | INDIVIDUAL JESSE KORETZ |
National Provider Directory
National Provider DirectoryLocations
363 E 76th St
Ste 1A
New York, NY 10021
Phone (212) 734-0234
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Student in an Organized Health Care Education/Training Program
- New York, NY
- NPI 1528650066
-
- General Practice Dentistry
- New York, NY
- NPI 1831217520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1841121803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 E 76TH ST STE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212422",
"telephone_number": "212-734-0234",
"fax_number": "212-734-3898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 E 76TH ST STE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100212422",
"telephone_number": "212-734-0234",
"fax_number": "212-734-3898"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KORETZ 76 DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "KORETZ",
"authorized_official_first_name": "JESSE",
"authorized_official_title_or_position": "ASSOCIATE",
"authorized_official_telephone_number": "212-734-0234",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL JAMES KORETZ",
"identifier": "1831217520",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL JESSE KORETZ",
"identifier": "1528650066",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.