Organization Active NPI

Susha C Halberstam

  • Dentist
  • Forest Hills, NY
National Provider Identifier
1912398447
Registry record updated Feb 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
044412-1 Issued in NY
Legal business name
SUSHA C HALBERSTAM
Practice address
11015 71St Rd Ste P1
Forest Hills, NY 11375-4976
Phone
(718) 793-4955
NPI assigned
Feb 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2015

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

Authorized official

Name
Cindy Cafaro
Title
Billing Supervisor
Phone
(631) 486-7710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 044412-1 NY Primary

Addresses

Primary practice location

11015 71St Rd Ste P1
Forest Hills, NY 11375-4976

Mailing address

11015 71St Rd Ste P1
Forest Hills, NY 11375-4976
Phone (718) 793-4955

National Provider Directory

National Provider Directory

Locations

11015 71st Rd
Ste P1
Forest Hills, NY 11375
Phone (718) 793-4955

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1912398447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11015 71ST RD STE P1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754976",
            "telephone_number": "718-793-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11015 71ST RD STE P1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754976",
            "telephone_number": "718-793-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSHA C HALBERSTAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "CAFARO",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "631-486-7710"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044412-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.