Organization Active NPI

Jamaica Dental PC

  • Dentist
  • Jamaica, NY
National Provider Identifier
1952784464
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050370 Issued in NY
Legal business name
JAMAICA DENTAL PC
Practice address
90- 33, 166 Street
Jamaica, NY 11432
Phone
(718) 657-0800
Fax
(718) 657-0200
NPI assigned
Jul 1, 2015
Last updated
Jul 1, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
EMMET DENTAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Authorized official

Name
Emil Yousefnajad Korori, DDS
Title
Owner/Dentist
Phone
(917) 657-4838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 050370 NY Primary

Addresses

Primary practice location

90- 33, 166 Street
Jamaica, NY 11432

Mailing address

9033 160TH St
Jamaica, NY 11432-6125
Phone (718) 657-0800

National Provider Directory

National Provider Directory
Part of
Emmet Dental PC

Locations

9033 160th St
Jamaica, NY 11432

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435708800000",
    "number": "1952784464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 160TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114326125",
            "telephone_number": "718-657-0800",
            "fax_number": "718-657-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90- 33, 166 STREET",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-657-0800",
            "fax_number": "718-657-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMAICA DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMMET DENTAL PC",
        "enumeration_date": "2015-07-01",
        "last_updated": "2015-07-01",
        "status": "A",
        "authorized_official_last_name": "KORORI",
        "authorized_official_first_name": "EMIL",
        "authorized_official_middle_name": "YOUSEFNAJAD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "917-657-4838",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 1, 2015; 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.