Organization Active NPI

Peter J Healy DDS

  • Dentist
  • Bronx, NY
National Provider Identifier
1952760282
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
037644-1 Issued in NY
Legal business name
PETER J HEALY DDS
Practice address
1725 Edison Ave
Bronx, NY 10461-4850
Phone
(718) 892-7114
Fax
(718) 892-7494
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Dr. Peter John Healy, DDS
Title
Dentist
Phone
(718) 892-7114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 037644-1 NY Primary

Addresses

Primary practice location

1725 Edison Ave
Bronx, NY 10461-4850

Mailing address

1725 Edison Ave
Bronx, NY 10461-4850
Phone (718) 892-7114

National Provider Directory

National Provider Directory
Tax ID family
Family Practice Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1725 Edison Ave
Bronx, NY 10461
Phone (718) 892-5542

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1952760282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 EDISON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614850",
            "telephone_number": "718-892-7114",
            "fax_number": "718-892-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 EDISON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614850",
            "telephone_number": "718-892-7114",
            "fax_number": "718-892-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER J HEALY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "HEALY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-892-7114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "037644-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 15, 2016; 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.