Emanuel Mizrahi, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

042835-1 Issued in NY

Practice address

11035 Jewel Ave
Forest Hills, NY 11375-3957

Phone

(718) 897-6666

Fax

(718) 261-2073

NPI assigned

Apr 17, 2007

Last updated

Oct 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emanuel Mizrahi DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Forest Hills, NY
  • NPI 1053564948
  NPD (past) Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1902022122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 JEWEL AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753957",
            "telephone_number": "718-897-6666",
            "fax_number": "718-261-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 JEWEL AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753957",
            "telephone_number": "718-897-6666",
            "fax_number": "718-261-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAHI",
        "first_name": "EMANUEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "042835-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01388792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rona Mishiyev
• Prem Shanker Misra, MD
• Mitchell Rubin DC PC
• Crystal Mitchell
• Sheron D Mitchell
• Stella Mizrakhi, LCSW
• MJM Medicine PLLC
• MK Ei Services Inc.
• MK Optometrist PC (Advanced Vision Care)
• MK Vision Center

• Orthodontics and Dentofacial Orthopedics Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.