NPIMap

Organization Active NPI

Dental Serenity of Manhattan PC

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1922439413
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056367 Issued in NY
Legal business name
DENTAL SERENITY OF MANHATTAN PC
Practice address
515 Madison Ave
RM 1225
New York, NY 10022-5403
Phone
(212) 858-9266
Fax
(212) 913-9701
NPI assigned
Dec 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Dr. Nina Lisin Chang, D.M.D.
Title
Dentist
Phone
(212) 858-9266

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 056367 NY Primary

Addresses

Primary practice location

515 Madison Ave
RM 1225
New York, NY 10022-5403

Mailing address

515 Madison Ave
RM 1225
New York, NY 10022-5403
Phone (212) 858-9266

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1922439413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE",
            "address_2": "RM 1225",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-858-9266",
            "fax_number": "212-913-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MADISON AVE",
            "address_2": "RM 1225",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225403",
            "telephone_number": "212-858-9266",
            "fax_number": "212-913-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SERENITY OF MANHATTAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-09",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "NINA",
        "authorized_official_middle_name": "LISIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-858-9266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056367",
            "primary": true
        }
    ],
    "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 24, 2016; 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.