Active NPI
Andrew Woo
- General Practice Dentistry
- New York, NJ
National Provider Identifier
1992887483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 051605-1
- Practice address
- 2060 Lexington Avenue
New York, NJ 10035 - Phone
- (212) 996-5996
- NPI assigned
- Oct 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 051605-1 | NY | Primary |
Addresses
Primary practice location
2060 Lexington Avenue
New York, NJ 10035
Mailing address
2060 Lexington Avenue
New York, NJ 10035
Phone (212) 996-5996
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051605-1 | Other | NY | DELTA |
| 02608482 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051605-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Baltimore Family Dentistry, LLP | General Practice | Past | Accepting new patients |
| East Harlem Dental Plaze, PC | General Practice | Past | Accepting new patients |
| Marvin a. Gertzberg, D.D.S. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- New York, NY
- NPI 1477606648
-
- Dentist
- West Coxsackie, NY
- NPI 1477714236
-
- General Practice Dentistry
- West Coxsackie, NY
- NPI 1174944243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1992887483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 LEXINGTON AVENUE",
"city": "NEW YORK",
"state": "NJ",
"postal_code": "10035",
"telephone_number": "212-996-5996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 LEXINGTON AVENUE",
"city": "NEW YORK",
"state": "NJ",
"postal_code": "10035",
"telephone_number": "212-996-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "ANDREW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "051605-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "051605-1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02608482",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.