Organization Active NPI

Bridgeview Dental, PLLC

  • Dentist
  • Staten Island, NY
National Provider Identifier
1891030599
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046384 Issued in NY
Legal business name
BRIDGEVIEW DENTAL, PLLC
Practice address
4864 Arthur Kill Rd
Suite 400
Staten Island, NY 10309-2633
Phone
(718) 356-9800
Fax
(718) 356-9810
NPI assigned
Dec 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Authorized official

Name
Dr. Emanuel Graziano
Title
DDS
Phone
(718) 356-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 046384 NY Primary

Addresses

Primary practice location

4864 Arthur Kill Rd
Suite 400
Staten Island, NY 10309-2633

Mailing address

4864 Arthur Kill Rd
Suite 400
Staten Island, NY 10309-2633
Phone (718) 356-9800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1891030599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 ARTHUR KILL RD",
            "address_2": "SUITE 400",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092633",
            "telephone_number": "718-356-9800",
            "fax_number": "718-356-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 ARTHUR KILL RD",
            "address_2": "SUITE 400",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103092633",
            "telephone_number": "718-356-9800",
            "fax_number": "718-356-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEVIEW DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "GRAZIANO",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "718-356-9800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "046384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.