Eliaz Kaufman DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

49860 Issued in NY

Legal business name

ELIAZ KAUFMAN DDS PLLC

Practice address

55 Avenue C
Ground Floor
New York, NY 10009-6855

Phone

(201) 310-0289

NPI assigned

Mar 21, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Eliaz Kaufman, DDS MS

Title

Owner

Phone

(201) 310-0289

Specialties & licenses 2

Addresses

Other names 1

• East Village Dental Center Doing business as

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1992236103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 AVENUE C",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 AVENUE C",
            "address_2": "GROUND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100096855",
            "telephone_number": "201-310-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIAZ KAUFMAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "ELIAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-310-0289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "49860",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "49860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Village Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Eliasberg
• Thorunn Eliasdottir, CRNA
• Carol Andrea Eliasen, M.D.
• Mollie Eliasof, LCSW
• Ira Eliasoph, M.D.
• Kerson Elidor
• Nisrine Elidrissi
• Marie Danielle Elie, RN, BSN
• Caroline Ruff Eliff
• Katherine Marie Elifritz, PT

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.