Organization Active NPI

Times Square Dental, PLLC

Doing business as Times Square Dental

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1972887446
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033324 Issued in NY
Legal business name
TIMES SQUARE DENTAL, PLLC
Doing business as
Times Square Dental
Practice address
1485 1St Ave
New York, NY 10075-1363
Phone
(212) 535-4199
Fax
(212) 472-9551
NPI assigned
Oct 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Dr. Ramji D Sethi
Title
Owner
Phone
(917) 359-7377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 033324 NY Primary

Addresses

Primary practice location

1485 1St Ave
New York, NY 10075-1363

Mailing address

317 Madison Ave
Suite 1520
New York, NY 10017-5201
Phone (212) 256-0200

Other identifiers 1

IdentifierTypeStateIssuer
0303439MedicaidNY

Other names 1

  • Times Square Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1972887446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MADISON AVE",
            "address_2": "SUITE 1520",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175201",
            "telephone_number": "212-256-0200",
            "fax_number": "212-472-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 1ST AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751363",
            "telephone_number": "212-535-4199",
            "fax_number": "212-472-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMES SQUARE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "SETHI",
        "authorized_official_first_name": "RAMJI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-359-7377",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0303439",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Times Square Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.