Mohammed Shahabuddin Dental P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

042617 Issued in NY

Legal business name

MOHAMMED SHAHABUDDIN DENTAL P.C.

Practice address

3004 36TH Ave
Long Island City, NY 11106-2315

Phone

(718) 361-8677

Fax

(718) 361-0278

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed Shahabuddin, D.D.S.NPI 1245229210

Title

Owner

Phone

(718) 361-8677

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.

• Mohammed Shahabuddin, D.D.S

  • Dentist
  • Long Island City, NY
  • NPI 1245229210
  NPD (past) Authorized official

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1982880159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3004 36TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062315",
            "telephone_number": "718-361-8677",
            "fax_number": "718-361-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 36TH AVE",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111062315",
            "telephone_number": "718-361-8677",
            "fax_number": "718-361-0278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED SHAHABUDDIN DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "SHAHABUDDIN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-361-8677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "042617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01172485",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Veronica Miranda
• MMH Wellness Corp
• Yuk-Yue Jennifer Mo, M.D.
• Melinda Mobarek
• Priyanka Mody, MHC-LP
• Natasha Mohan, LMSW
• Lairen Baldevarona Mohran, LMT
• Chonlada Mokrue, M.D.
• Jocelyne Moleon
• Stacey Momo, RN

• Dentist in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; 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.