Active NPI
Natalie Yam, DDS, MMSC
- Periodontics
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 063974
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN1859133 | MA | MD | Periodontist |
| 22DI03045700 | NJ | MD | Periodontist |
| 063974 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greg R. Diamond D.D.S., P.C. | Periodontics | Current | Accepting new patients |
| James Fang DDS PLLC | Past | Accepting new patients | |
| Arnold M. Lieberman, DDS & Vasilios D. Mesimeris, DMD PC | Periodontics | Past | 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.
-
- Periodontics
- New York, NY
- NPI 1942053574
-
- Periodontics
- Babylon, NY
- NPI 1457576670
-
- Oral and Maxillofacial Surgery (Dentist)
- Flushing, NY
- NPI 1902479850
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.