NPIMap

Organization Active NPI

Suresh Koshy DDS PC

Doing business as Eden Dental

  • Dentist
  • Yonkers, NY
National Provider Identifier
1942584792
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049853 Issued in NY
Legal business name
SURESH KOSHY DDS PC
Doing business as
Eden Dental
Practice address
1034 North Broad Way
Eden Dental
Yonkers, NY 10701
Phone
(914) 969-0168
Fax
(914) 969-6237
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Suresh O KoshyNPI 1114034048
Title
Dentist
Phone
(914) 969-0168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 049853 NY Primary

Addresses

Primary practice location

1034 North Broad Way
Eden Dental
Yonkers, NY 10701

Mailing address

1034 North Broad Way
Suite 7
Yonkers, NY 10701
Phone (914) 969-0168

Other names 1

  • Eden Dental Doing business as

National Provider Directory

National Provider Directory

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": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1942584792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 NORTH BROAD WAY",
            "address_2": "SUITE 7",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-969-0168",
            "fax_number": "914-969-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 NORTH BROAD WAY",
            "address_2": "EDEN DENTAL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10701",
            "telephone_number": "914-969-0168",
            "fax_number": "914-969-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH KOSHY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "KOSHY",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "914-969-0168",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yonkers, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.