Active NPI
Matthew Saghian
- Dentist
- Jackson Heights, NY
National Provider Identifier
1952041428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 063318
- Practice address
- 3749 82ND St
Jackson Heights, NY 11372-7031 - Phone
- (718) 779-5178
- NPI assigned
- Mar 31, 2022
- Last updated
- Sep 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 063318 | NY | Primary |
Addresses
Primary practice location
3749 82ND St
Jackson Heights, NY 11372-7031
Mailing address
1 Brookdale PLZ
Brooklyn, NY 11212-3139
Phone (718) 613-7384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 063318 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695772800000",
"number": "1952041428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BROOKDALE PLZ",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112123139",
"telephone_number": "718-613-7384",
"fax_number": "718-228-7993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3749 82ND ST",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113727031",
"telephone_number": "718-779-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAGHIAN",
"first_name": "MATTHEW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-31",
"last_updated": "2023-09-27",
"certification_date": "2023-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "063318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.