Organization Active NPI

Oms New York Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1982323036
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
OMS NEW YORK ORAL SURGERY PC
Doing business as
OMS New York Oral Surgery PC
Practice address
501 Madison Ave FL 18
New York, NY 10022-5613
Phone
(212) 308-9200
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Allen Glied, DDSNPI 1639303357
Title
Owner
Phone
(917) 364-3854

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

501 Madison Ave FL 18
New York, NY 10022-5613

Mailing address

501 Madison Ave FL 18
New York, NY 10022-5613
Phone (917) 364-3854

Other identifiers 1

IdentifierTypeStateIssuer
03118196MedicaidNY

Other names 1

  • OMS New York Oral Surgery PC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.nycoms.com

National Provider Directory

National Provider Directory

Locations

501 Madison Ave
Fl 18
New York, NY 10022
Phone (212) 308-9200

Practitioners & affiliated clinicians

Practitioners 4

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": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1982323036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225613",
            "telephone_number": "917-364-3854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MADISON AVE FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225613",
            "telephone_number": "212-308-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMS NEW YORK ORAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "GLIED",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-364-3854",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03118196",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.nycoms.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "501 Madison Ave Fl 18",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100225613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "OMS New York Oral Surgery PC",
            "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 Aug 23, 2022; 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.