Active NPI
Huzefa Saifuddin Talib, D.D.S.
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
National Provider Identifier
1982981601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 000030-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4203861 | Medicaid | NY |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 000030-1 | NY | MD | Dentist |
| 000030 | NY | MD | Advanced 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.