Mid-Manhattan Oral Surgery PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

CERT# 5750 Issued in NY

Legal business name

MID-MANHATTAN ORAL SURGERY PC

Practice address

36 W 44TH St Ste 600a
New York, NY 10036-8105

Phone

(212) 696-2677

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Paul R. Calat, D.M.D.NPI 1326142977

Title

Medical Director

Phone

(212) 696-2677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul R Calat, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New York, NY
  • NPI 1326142977
  NPD Authorized official
• Robert Mark Dolman, D.D.S.MSC

  • Oral and Maxillofacial Pathology Dentistry
  • New York, NY
  • NPI 1023198793
  NPD (past)
• Michele Jillian Carunchio, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Hoboken, NJ
  • NPI 1457643553
  NPD (past)

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1881072866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 W 44TH ST STE 600A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368105",
            "telephone_number": "212-696-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 44TH ST STE 600A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368105",
            "telephone_number": "212-696-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MANHATTAN ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "CALAT",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "212-696-2677",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "CERT# 5750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FACILITIES, INC.",
            "identifier": "5750",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Luis Miclat, PT, DPT
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• Mid-Atlantic Medical Services,PC
• Mid-Manhattan Medical, P.C. (Park Avenue Trauma Associates)
• Mid-Manhattan Physician Services,P.C.
• Mid-Manhattan Surgi-Center, Inc.
• Midcrest Optical Corporation (Creston Optical)
• Middle Path Psychological Services PLLC
• Matthew Nathaniel Middleman, M.D.

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.