Manilal I.Patel Dentist PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0034023 Issued in NY

Legal business name

MANILAL I.PATEL DENTIST PC

Practice address

820 Suffolk Ave
Brentwood, NY 11717-4498

Phone

(631) 231-5566

Fax

(631) 231-0561

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Manilal I Patel, DDS

Title

Owner

Phone

(631) 231-5566

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1912026840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "631-231-5566",
            "fax_number": "631-231-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SUFFOLK AVE",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174498",
            "telephone_number": "631-231-5566",
            "fax_number": "631-231-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANILAL I.PATEL DENTIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "MANILAL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-231-5566",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0034023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00336383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumaira Mahmood
• Marvett A Malcolm
• Peter John Mancuso, DPM
• Nasia Mangaroo
• Jean Manheim
• Pamela M Maniscalco, RN
• Alexa Manning, OTD, OTR/L
• Albert A Marcantonio, OD
• Margarita C Pascual MD PC
• Maria Regina Residence, Inc.

• General Practice Dentistry in Brentwood, NY
• Providers in Brentwood, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.