Suresh Koshy DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

049853 Issued in NY

Legal business name

SURESH KOSHY DDS PC

Practice address

1034 North Broad Way
Eden Dental
Yonkers, NY 10701

Phone

(914) 969-0168

Fax

(914) 969-6237

NPI assigned

Sep 28, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Suresh O Koshy

Title

Dentist

Phone

(914) 969-0168

Specialties & licenses 1

Addresses

Other names 1

• Eden Dental Doing business as

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"
        }
    ]
}

• Celsa Socorro Sunico, P.T.
• Chelsea Marie Fernandez Sunico
• Sarika Sunku, M.D.
• Jenny Suprice, RN
• Irina Surbnshanyan, M.D.
• Johanna Rosalia Suriel
• Vana Rani Suryadevara, M.D.
• Susan a Kaminski, MD,PC
• Vichai Sutanchaiyanont, MD
• Rosa Sutera, RN

• Dentist in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Dentist in New York

• 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.