NPIMap

Organization Active NPI

Park Dental LLP

  • General Practice Dentistry
  • Massapequa Park, NY
National Provider Identifier
1972655512
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PARK DENTAL LLP
Practice address
1035 Park Blvd Ste 1a
Massapequa Park, NY 11762
Phone
(516) 798-9184
Fax
(516) 795-8612
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Dr. Richard Cassaro, DDSNPI 1215143466
Title
Owner
Phone
(516) 798-9184

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1035 Park Blvd Ste 1a
Massapequa Park, NY 11762

Mailing address

1035 Park Blvd Ste 1a
Massapequa Park, NY 11762
Phone (516) 798-9184

National Provider Directory

National Provider Directory

Locations

1035 Park Blvd
Ste 1A
Massapequa Park, NY 11762
Phone (516) 798-9184

Practitioners & affiliated clinicians

Practitioners 3

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1972655512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD STE 1A",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-798-9184",
            "fax_number": "516-795-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD STE 1A",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "11762",
            "telephone_number": "516-798-9184",
            "fax_number": "516-795-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "CASSARO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-798-9184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.