Emil Yousefnejadkorori, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050370 Issued in NY

Practice address

89- 02, 165 Street
Suite MW29
Jamaica, NY 11432

Phone

(718) 657-4838

Fax

(718) 657-0099

NPI assigned

Jul 14, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1962631770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89- 02, 165 STREET",
            "address_2": "SUITE MW29",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-657-4838",
            "fax_number": "718-657-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89- 02, 165 STREET",
            "address_2": "SUITE MW29",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-657-4838",
            "fax_number": "718-657-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFNEJADKORORI",
        "first_name": "EMIL",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02360025",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Young, D.O
• Christine A Young
• Julia Tanica Young, RN
• Margaret Ann Young, LMSW
• Your Wellness Pharmacy Corp
• Sorraya Eghbali Youssof, LCSW
• Mohamad Javed Yousuf, RPH
• Angelina Yu
• Piere Yu
• Tatyana Yuabov

• General Practice Dentistry in Jamaica, NY
• Providers in Jamaica, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.