Organization Active NPI

New York Maxillofacial Surgery, P.C.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New York, NY
National Provider Identifier
1912048844
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
218337 Issued in NY
Legal business name
NEW YORK MAXILLOFACIAL SURGERY, P.C.
Practice address
110 E 55TH St
15TH Floor
New York, NY 10022-4540
Phone
(212) 308-9200
Fax
(212) 308-9212
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. Jay Neugarten, D.D.S., M.D.
Title
Oral Surgeon
Phone
(212) 308-9200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.)Group: 193400000X SINGLE SPECIALTY GROUP 204E00000X 218337 NY Primary

Addresses

Primary practice location

110 E 55TH St
15TH Floor
New York, NY 10022-4540

Mailing address

110 E 55TH St
15TH Floor
New York, NY 10022-4540
Phone (212) 308-9200

Other identifiers 3

IdentifierTypeStateIssuer
01335919MedicaidNY
00501157MedicaidNY
02238062MedicaidNY

National Provider Directory

National Provider Directory

Locations

110 E 55th St
Fl 15
New York, NY 10022
Phone (212) 308-9200

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1912048844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 55TH ST",
            "address_2": "15TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224540",
            "telephone_number": "212-308-9200",
            "fax_number": "212-308-9212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 55TH ST",
            "address_2": "15TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224540",
            "telephone_number": "212-308-9200",
            "fax_number": "212-308-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK MAXILLOFACIAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "NEUGARTEN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "212-308-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "218337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01335919",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00501157",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02238062",
            "state": "NY"
        }
    ],
    "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 1, 2007; 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.