Active NPI
Jonathan Stephen Aives, D.M.D
- General Practice Dentistry
- New York, NY
National Provider Identifier
1851594741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 035738
- Practice address
- 356 Broadway
New York, NY 10013 - Phone
- (718) 843-0572
- Fax
- (718) 843-0572
- NPI assigned
- Jun 7, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 035738 | NY | Primary |
| Dentist | 122300000X | 035738 | NY |
Addresses
Primary practice location
356 Broadway
New York, NY 10013
Mailing address
2 1/2 Lake Street
Stamford, NY 12167
Phone (607) 652-4333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00854311 | Medicaid | NY |
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 |
|---|---|---|---|
| 035738 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1851594741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 1/2 LAKE STREET",
"city": "STAMFORD",
"state": "NY",
"postal_code": "12167",
"telephone_number": "607-652-4333",
"fax_number": "607-652-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "356 BROADWAY",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "718-843-0572",
"fax_number": "718-843-0572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AIVES",
"first_name": "JONATHAN",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-07",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "035738",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "035738",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00854311",
"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 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.