Active NPI
New York Maxillofacial Surgery, P.C.
- Oral & Maxillofacial Surgery (D.M.D.)
- New York, NY
National Provider Identifier
1912048844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 218337
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01335919 | Medicaid | NY | |
| 00501157 | Medicaid | NY | |
| 02238062 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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": []
}
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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.