NPIMap

Organization Active NPI

Ez Orthodontics PLLC

Doing business as Ez Ortho

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Elmhurst, NY
National Provider Identifier
1891395810
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
EZ ORTHODONTICS PLLC
Doing business as
Ez Ortho
Practice address
4010 82ND St FL 2
Elmhurst, NY 11373-1305
Phone
(516) 659-9238
NPI assigned
Oct 28, 2020
Last updated
Oct 28, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Dr. Elliot Zharnitsky, DDSNPI 1861988123
Title
Owner
Phone
(516) 659-9238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

4010 82ND St FL 2
Elmhurst, NY 11373-1305

Mailing address

4010 82ND St FL 2
Elmhurst, NY 11373-1305
Phone (516) 659-9238

Other identifiers 3

IdentifierTypeStateIssuer
059767OtherNYSTATE LICENSE
1861988123OtherNYNPI
05298215MedicaidNY

Other names 2

  • EZ ORTHO Doing business as
  • Downtown Braces Other name

National Provider Directory

National Provider Directory

Locations

4010 82nd St
#2
Elmhurst, NY 11373
Phone (516) 659-9238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1891395810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 82ND ST FL 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731305",
            "telephone_number": "516-659-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 82ND ST FL 2",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731305",
            "telephone_number": "516-659-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZ ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "ZHARNITSKY",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-659-9238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "059767",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861988123",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05298215",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EZ ORTHO",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Downtown Braces",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.