Active NPI
Sara Ali
- Pediatric Dentistry
- New York, NY
National Provider Identifier
1902481724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 063257-01
- Practice address
- 260 Audubon Ave
New York, NY 10033-6306 - Phone
- (212) 781-3000
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 063257-01 | NY | Primary |
Addresses
Primary practice location
260 Audubon Ave
New York, NY 10033-6306
Mailing address
55 W 25TH St Apt 30E
New York, NY 10010-2150
Phone (612) 272-3983
Other practice location 1
55 W 25th St Apt 30E
New York, NY 10010-2150
Phone (612) 272-3983
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063257-01 | NY | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720310400000",
"number": "1902481724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 W 25TH ST APT 30E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100102150",
"telephone_number": "612-272-3983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 AUDUBON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100336306",
"telephone_number": "212-781-3000"
}
],
"practiceLocations": [
{
"address_1": "55 W 25th St Apt 30E",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100102150",
"country_code": "US",
"telephone_number": "612-272-3983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALI",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-12",
"last_updated": "2024-07-07",
"certification_date": "2023-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "063257-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.