Individual provider Active NPI

Natalie Yam, DDS, MMSC

  • Periodontics
  • New York, NY
National Provider Identifier
1841963121
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
063974 Issued in NY
Practice address
30 E 60TH St Ste 703
New York, NY 10022-1076
Phone
(212) 213-9333
NPI assigned
Jul 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN1859133 MA
Periodontics 1223P0300X 22DI03045700 NJ
Periodontics 1223P0300X 063974 NY Primary

Addresses

Primary practice location

30 E 60TH St Ste 703
New York, NY 10022-1076

Mailing address

9136 71St Rd
Forest Hills, NY 11375-6711
Phone (646) 470-2228

Other practice location 1

290 Madison Ave Ste 1A
Morristown, NJ 07960-7400
Phone (973) 538-5338

Other practice location 2

3712 Prince St Ste 7B
Flushing, NY 11354-4651
Phone (718) 762-1080

Other practice location 3

188 Longwood Ave
Boston, MA 02115-5819
Phone (617) 432-1434

Other practice location 4

2415 Jerusalem Ave
North Bellmore, NY 11710-1870
Phone (516) 679-1145

Other practice location 5

9 Carey Ave
Butler, NJ 07405-1225
Phone (973) 838-1477

Other practice location 6

678 Deer Park Ave
Babylon, NY 11702-1306
Phone (631) 587-5870

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

LicenseStateTypeSpecialty
DN1859133MAMDPeriodontist
22DI03045700NJMDPeriodontist
063974NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Greg R. Diamond D.D.S., P.C. Periodontics CurrentSince Jun 29, 2025 Accepting new patients
James Fang DDS PLLC Past Accepting new patients
Arnold M. Lieberman, DDS & Vasilios D. Mesimeris, DMD PC Periodontics PastSince Jan 1, 2025 Accepting new patients

Locations

30 E 60th St
Ste 703
New York, NY 10022
Phone (212) 213-9333

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1841963121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9136 71ST RD",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756711",
            "telephone_number": "646-470-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 60TH ST STE 703",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221076",
            "telephone_number": "212-213-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "290 Madison Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079607400",
            "country_code": "US",
            "telephone_number": "973-538-5338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3712 Prince St Ste 7B",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113544651",
            "country_code": "US",
            "telephone_number": "718-762-1080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Longwood Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155819",
            "country_code": "US",
            "telephone_number": "617-432-1434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 Jerusalem Ave",
            "address_purpose": "LOCATION",
            "city": "North Bellmore",
            "state": "NY",
            "postal_code": "117101870",
            "country_code": "US",
            "telephone_number": "516-679-1145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9 Carey Ave",
            "address_purpose": "LOCATION",
            "city": "Butler",
            "state": "NJ",
            "postal_code": "074051225",
            "country_code": "US",
            "telephone_number": "973-838-1477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "678 Deer Park Ave",
            "address_purpose": "LOCATION",
            "city": "Babylon",
            "state": "NY",
            "postal_code": "117021306",
            "country_code": "US",
            "telephone_number": "631-587-5870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAM",
        "first_name": "NATALIE",
        "credential": "DDS, MMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "MA",
            "license": "DN1859133",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI03045700",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "063974",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 26, 2025; 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.