Organization Active NPI

City Dental Care Jamaica P.C.

  • Dentist
  • Jamaica, NY
National Provider Identifier
1952655854
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
036853 Issued in NY
Legal business name
CITY DENTAL CARE JAMAICA P.C.
Practice address
89-50, 164TH STR
Suite - 2a
Jamaica, NY 11432
Phone
(718) 658-4050
Fax
(718) 658-8910
NPI assigned
Oct 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Mohammad Waduduzzaman Bhuyan, DDSNPI 1720069651
Title
Owner / President
Phone
(718) 658-4050

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 036853 NY Primary

Addresses

Primary practice location

89-50, 164TH STR
Suite - 2a
Jamaica, NY 11432

Mailing address

89-50, 164TH STR Ste #2a
Jamaica, NY 11432
Phone (718) 658-4050

Other identifiers 1

IdentifierTypeStateIssuer
00722770MedicaidNY

Other names 1

  • Mohammad W Bhuyan DDS (Previous Name) Former legal business name

National Provider Directory

National Provider Directory

Locations

8950 164th St
Ste 2A
Jamaica, NY 11432
Phone (718) 658-4050

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": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1952655854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89-50, 164TH STR STE #2A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-658-4050",
            "fax_number": "718-658-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-50, 164TH STR",
            "address_2": "SUITE - 2A",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-658-4050",
            "fax_number": "718-658-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY DENTAL CARE JAMAICA P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "BHUYAN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "WADUDUZZAMAN",
        "authorized_official_title_or_position": "OWNER / PRESIDENT",
        "authorized_official_telephone_number": "718-658-4050",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "036853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00722770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mohammad W Bhuyan DDS (Previous Name)",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.