N.Y. Dental Professional

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049885 Issued in NY

Legal business name

N.Y. DENTAL PROFESSIONAL

Practice address

250 Mercer St., B908
Ny, NY 10012

Phone

(917) 952-7813

NPI assigned

Jul 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason Liem

Title

President

Phone

(917) 952-7813

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1871793703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 MERCER ST., B908",
            "city": "NY",
            "state": "NY",
            "postal_code": "10012",
            "telephone_number": "917-952-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MERCER ST., B908",
            "city": "NY",
            "state": "NY",
            "postal_code": "10012",
            "telephone_number": "917-952-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.Y. DENTAL PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "LIEM",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-952-7813",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02439247",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mount Sinai Beth Isreal
• Mt Sinai Medical Center
• Stephanie Mullen, LMSW
• Mary Mulvey
• Karen Alison Nichole Myrie, MD
• Donald Philip Nadel, DDS
• Lakshmi Devi Nadiminti, D.O.
• Sapna Narang
• Michael Alexander Nembhard
• Anne 'Nancy' Scott Newhouse, LCSW

• General Practice Dentistry in Ny, NY
• Providers in Ny, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.