Organization Active NPI

Jack a. Mailman, DDS, Leonard I. Flug, DDS, P.C.

  • Dental Clinic/Center
  • Staten Island, NY
National Provider Identifier
1992724025
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
027631 Issued in NY
Legal business name
JACK A. MAILMAN, DDS, LEONARD I. FLUG, DDS, P.C.
Practice address
1800 Richmond Ave
Staten Island, NY 10314-3902
Phone
(718) 761-1800
Fax
(718) 761-6945
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jack Alan Mailman, D.D.S.
Title
Secretary/Treasurer
Phone
(718) 761-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 027631 NY Primary

Addresses

Primary practice location

1800 Richmond Ave
Staten Island, NY 10314-3902

Mailing address

1800 Richmond Ave
Staten Island, NY 10314-3902
Phone (718) 761-1800

Other names 1

  • Drs. Mailman, Flug & Ozer Doing business as

National Provider Directory

National Provider Directory

Locations

1800 Richmond Ave
Staten Island, NY 10314
Phone (718) 761-1800

Practitioners & affiliated clinicians

Practitioners 2

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": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992724025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143902",
            "telephone_number": "718-761-1800",
            "fax_number": "718-761-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143902",
            "telephone_number": "718-761-1800",
            "fax_number": "718-761-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK A. MAILMAN, DDS, LEONARD I. FLUG, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAILMAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "718-761-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "027631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Mailman, Flug & Ozer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.