Sujatha H de Silva DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SUJATHA H DE SILVA DDS PC

Practice address

973 Targee Street
Staten Island, NY 10304

Phone

(718) 556-5432

Fax

(718) 556-5432

NPI assigned

Jan 27, 2006

Last updated

Aug 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sujatha H De Silva, DDS

Title

Principal

Phone

(718) 556-5432

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Sujatha H de Silva DDS PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Sujatha H de Silva DDS PC

  • Dental Clinic/Center
  • Port Jervis, NY
  • NPI 1447221627
  NPD tax ID
• Sujatha H Desilva

  • General Practice Dentistry
  • Port Jervis, NY
  • NPI 1265696058
  NPD tax ID

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1871564054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 TARGEE STREET",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10304",
            "telephone_number": "718-556-5432",
            "fax_number": "718-556-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 TARGEE STREET",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10304",
            "telephone_number": "718-556-5432",
            "fax_number": "718-556-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUJATHA H DE SILVA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-27",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "DE SILVA",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "718-556-5432",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00946341",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Suede, MD
• Phyllis Suen, M.D.
• Gilberto Suero, LCSW
• Jillian Suero
• Eugene Suharev, RN
• Albana Suka
• Ashraf Sukar, PHARMACIST
• Ila Sukhadia, M.D.
• Violetta Sukiasyan, SLP
• Ayub Suleiman, M.D.

• Dental Clinic/Center in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.