Active NPI
City Dental Care Jamaica P.C.
- Dentist
- Jamaica, NY
National Provider Identifier
1952655854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 036853
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohammad Waduduzzaman Bhuyan, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00722770 | Medicaid | NY |
Other names 1
- Mohammad W Bhuyan DDS (Previous Name)
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Jamaica, NY
- NPI 1720069651
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
- Marco Cinquegrana
- Ramona Ciobanu, MS ED.
- Victoria Elizabeth Cioci
- Citicardiaccare P.C.
- Citimed Surgery Center, LLC
- City Homecare LLC
- City Medical of Upper East Side, PLLC (CityMD)
- City of New York Office of Payroll Administration (NYC Department of Health and Mental Hygiene)
- City of New York Office of Payroll Administration (NYCDOHMH Jamaica District)
- City Plus Care Pharmacy Inc (heal the world Pharmacy)
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.