Individual provider Active NPI

Nasrine Ahmed, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1902913783
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22227 Issued in NJ
Practice address
4470 Broadway
Suite 4
New York, NY 10040-2669
Phone
(212) 569-7144
Fax
(646) 224-1320
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22227 NJ Primary
Dentist 122300000X 050704 NY

Addresses

Primary practice location

4470 Broadway
Suite 4
New York, NY 10040-2669

Mailing address

4470 Broadway
Suite 4
New York, NY 10040-2669
Phone (212) 569-7144

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
22227NJMDGeneral Practice Dentistry
050704NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Healthcare Management Inc. Past Accepting new patients
Wexler Dermatology PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1902913783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 BROADWAY",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402669",
            "telephone_number": "212-569-7144",
            "fax_number": "646-224-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 BROADWAY",
            "address_2": "SUITE 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402669",
            "telephone_number": "212-569-7144",
            "fax_number": "646-224-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMED",
        "first_name": "NASRINE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22227",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050704",
            "primary": false
        }
    ],
    "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 Aug 28, 2013; 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.