NPIMap

Organization Active NPI

Precision Periodontics Nyc

  • Preferred Provider Organization
  • Bayside, NY
National Provider Identifier
1932565850
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
048861-1 Issued in NY
Legal business name
PRECISION PERIODONTICS NYC
Practice address
20124 43Rd Ave
Bayside, NY 11361-2545
Phone
(718) 224-8280
NPI assigned
Jan 7, 2016
Last updated
Jan 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Dr. Irene Bokser, DDSNPI 1891703898
Title
Owner
Phone
(718) 224-8280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 048861-1 NY Primary

Addresses

Primary practice location

20124 43Rd Ave
Bayside, NY 11361-2545

Mailing address

20124 43Rd Ave
Bayside, NY 11361-2545
Phone (718) 224-8280

National Provider Directory

National Provider Directory

Locations

20124 43rd Ave
Bayside, NY 11361
Phone (718) 224-8280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1932565850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20124 43RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612545",
            "telephone_number": "718-224-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20124 43RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612545",
            "telephone_number": "718-224-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION PERIODONTICS NYC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "BOKSER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-224-8280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "048861-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.