Individual provider Active NPI

Huzefa Saifuddin Talib, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1982981601
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
000030-1 Issued in NY
Practice address
726 Broadway Ste 350
New York, NY 10003-9616
Phone
(212) 443-1300
Fax
(931) 236-1086
NPI assigned
Nov 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 000030-1 NY
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 000030-1 NY Primary

Addresses

Primary practice location

726 Broadway Ste 350
New York, NY 10003-9616

Mailing address

421 1St Ave Ste 305W
New York, NY 10010-4001
Phone (212) 998-9568

Other practice location 1

345 E 24th St
New York, NY 10010-4020
Phone (212) 998-9568

Other identifiers 1

IdentifierTypeStateIssuer
4203861MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 5, 2016 through May 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000030-1NYMDDentist
000030NYMDAdvanced Practice Midwife

NPI Registry JSON

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

{
    "created_epoch": "1320796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1982981601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 1ST AVE STE 305W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104001",
            "telephone_number": "212-998-9568",
            "fax_number": "931-236-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 BROADWAY STE 350",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100039616",
            "telephone_number": "212-443-1300",
            "fax_number": "931-236-1086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E 24th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104020",
            "country_code": "US",
            "telephone_number": "212-998-9568",
            "fax_number": "931-236-1086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALIB",
        "first_name": "HUZEFA",
        "middle_name": "SAIFUDDIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-09",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "000030-1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "000030-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4203861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.