East Harlem Dental Associates, PC

Primary specialty

DentistTaxonomy code 122300000X

License

050960 Issued in NY

Legal business name

EAST HARLEM DENTAL ASSOCIATES, PC

Practice address

1040 1St Ave
#393
New York, NY 10022-2991

Phone

(917) 991-1841

NPI assigned

Dec 3, 2015

Organization subpart

No

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

Authorized official

Name

Eric Bernstein, DDS

Title

Owner

Phone

(917) 817-3860

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Bushra Siddiqui, DDS

  • Dentist
  • New York, NY
  • NPI 1427188630
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1962877845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E 104TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295418",
            "telephone_number": "212-348-5492",
            "fax_number": "212-828-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 1ST AVE",
            "address_2": "#393",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222991",
            "telephone_number": "917-991-1841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST HARLEM DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-817-3860",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "050960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02441936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Harlem Council for Community Improvement
• East Harlem Council for Human Services
• East Harlem Council for Human Services Inc
• East Harlem Council for Human Services Inc
• East Harlem Dental
• East Harlem Dental Plaze, PC
• East Harlem Eye Care, LLC
• East Harlem Medical PC
• East Harlem Pharmacy Corp
• East Manhattan Anesthesia Partners, LLC.

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.