Organization Active NPI

Brooklyn Oral Surgery & Implant Center

  • Oral and Maxillofacial Surgery Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1942669387
Registry record updated Feb 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
055345 Issued in NY
Legal business name
BROOKLYN ORAL SURGERY & IMPLANT CENTER
Practice address
1512 Avenue Z
Brooklyn, NY 11235-3808
Phone
(718) 395-4700
Fax
(718) 395-4709
NPI assigned
Feb 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2016

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

Authorized official

Name
Dr. Garry Shnayder, DDSNPI 1740418961
Title
Owner
Phone
(718) 702-2003

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
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 055345 NY Primary

Addresses

Primary practice location

1512 Avenue Z
Brooklyn, NY 11235-3808

Mailing address

1512 Avenue Z
Brooklyn, NY 11235-3808
Phone (718) 395-4700

National Provider Directory

National Provider Directory

Locations

1512 Avenue Z
Brooklyn, NY 11235
Phone (718) 395-4700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455321600000",
    "number": "1942669387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353808",
            "telephone_number": "718-395-4700",
            "fax_number": "718-395-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353808",
            "telephone_number": "718-395-4700",
            "fax_number": "718-395-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN ORAL SURGERY & IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-13",
        "last_updated": "2016-02-13",
        "status": "A",
        "authorized_official_last_name": "SHNAYDER",
        "authorized_official_first_name": "GARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-702-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "055345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.