Organization Active NPI

Flushing Dental Associates, PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1952539033
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
036877 Issued in NY
Legal business name
FLUSHING DENTAL ASSOCIATES, PC
Practice address
745 Flushing Ave.
Brooklyn, NY 11206
Phone
(718) 387-8992
Fax
(718) 532-0231
NPI assigned
Jun 26, 2009
Last updated
Jun 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

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

Authorized official

Name
Dr. Mohamed A. El Basty, DDS, MS.
Title
President
Phone
(718) 387-8992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 036877 NY Primary

Addresses

Primary practice location

745 Flushing Ave.
Brooklyn, NY 11206

Mailing address

745 Flushing Ave.
Brooklyn, NY 11206
Phone (718) 387-8992

Other identifiers 1

IdentifierTypeStateIssuer
00763373MedicaidNY

National Provider Directory

National Provider Directory

Locations

745 Flushing Ave
Brooklyn, NY 11206
Phone (718) 387-8992

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": "1245974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245974400000",
    "number": "1952539033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 FLUSHING AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-387-8992",
            "fax_number": "718-532-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 FLUSHING AVE.",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11206",
            "telephone_number": "718-387-8992",
            "fax_number": "718-532-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-26",
        "last_updated": "2009-06-26",
        "status": "A",
        "authorized_official_last_name": "EL BASTY",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-387-8992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "036877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00763373",
            "state": "NY"
        }
    ],
    "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 Jun 26, 2009; 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.