NPIMap

Organization Active NPI

Milton P Merritt DDS PC

  • Dentist
  • Bayside, NY
National Provider Identifier
1942250337
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21975 Issued in NY
Legal business name
MILTON P MERRITT DDS PC
Practice address
23-35 Bell Boulevard
Bayside, NY 11360-2038
Phone
(718) 225-5454
Fax
(718) 225-5455
NPI assigned
May 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Milton Philip Merritt, DDS
Title
President
Phone
(718) 225-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21975 NY Primary

Addresses

Primary practice location

23-35 Bell Boulevard
Bayside, NY 11360-2038

Mailing address

23-35 Bell Boulevard
Bayside, NY 11360-2038
Phone (718) 225-5454

Other identifiers 1

IdentifierTypeStateIssuer
00289083MedicaidNY

Other names 1

  • Professional Corporation Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1942250337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-35 BELL BOULEVARD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602038",
            "telephone_number": "718-225-5454",
            "fax_number": "718-225-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-35 BELL BOULEVARD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602038",
            "telephone_number": "718-225-5454",
            "fax_number": "718-225-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON P MERRITT DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-225-5454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "21975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00289083",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 22, 2008; 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.