NPIMap

Organization Active NPI

Boynton Dental,PC

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1952573594
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041973 Issued in NY
Legal business name
BOYNTON DENTAL,PC
Practice address
1537 Westchester Ave
Bronx, NY 10472-2908
Phone
(718) 617-0624
Fax
(718) 328-3887
NPI assigned
Mar 24, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Samy FatouhNPI 1134273782
Title
President
Phone
(718) 617-0624

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
General Practice Dentistry 1223G0001X 041973 NY Primary

Addresses

Primary practice location

1537 Westchester Ave
Bronx, NY 10472-2908

Mailing address

1537 Westchester Ave
Bronx, NY 10472-2908
Phone (718) 617-0624

Other identifiers 2

IdentifierTypeStateIssuer
01087961MedicaidNY
01115177MedicaidNY

National Provider Directory

National Provider Directory

Locations

1537 Westchester Ave
Bronx, NY 10472
Phone (718) 617-0624

Practitioners & affiliated clinicians

Practitioners 6

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": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1952573594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722908",
            "telephone_number": "718-617-0624",
            "fax_number": "718-328-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722908",
            "telephone_number": "718-617-0624",
            "fax_number": "718-328-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYNTON DENTAL,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "FATOUH",
        "authorized_official_first_name": "SAMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-617-0624",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01087961",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01115177",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.