UPPER WEST SIDE ORAL & MAXILLOFACIAL SURGERY (NPI# 1053921643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053921643 |
| Entity Type | Organization |
| Organization Name | UPPER WEST SIDE ORAL & MAXILLOFACIAL SURGERY |
| Practice Address |
140 W 69th St Ph 1g New York NY 10023-5173 |
| Practice Telephone | 6467346742 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | NAM PARK (DDS, MD) |
| Authorized Official Telephone | 6467346742 |
| Authorized Official Credential | DDS, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
140 W 69TH ST PH 1G |
| City | NEW YORK |
| State | NY |
| Zip Code | 10023-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353215 | Marian Lisa Stern | Psychologist | 6 West 74th Street, Ny, NY 10023 | 2020-07-16 |
| 1720605652 | Elizabeth Bentley | Social Worker | Institute of Contemporary Psychotherapy, 33 W 60th St. 4th Floor New York, New York, NY 10023 | 2020-06-26 |
| 1164058236 | Dawn Fitzgerald | Registered Nurse | 315 West 70th Street, Suite 1b, New York, NY 10023 | 2020-03-20 |
| 1841849817 | David Charles Tannenbaum | Social Worker | 10 West 74th 1b, Nyc, NY 10023 | 2019-09-11 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| 1043875198 | Linda M Stolarz | Social Worker | 140 W 71st, Apt 3 E, New York, NY 10023 | 2019-05-03 |
| 1336609825 | Laurie Faye Schwartz | Counselor | 20 W 64 St, Apt 21a, New York, NY 10023 | 2019-03-21 |
| 1891252706 | Marcia Hochman | Social Worker | The Hallowell Center, 117 West 72nd St. 3rd Floor, Ny, NY 10023 | 2019-02-27 |
| 1629545843 | Roni-sue Allen | Marriage & Family Therapist | 1841 Broadway Suite 325, New York, NY 10023 | 2018-10-25 |
| 1346757291 | Jang Sook Min | Acupuncturist | 134 W 72nd St, New York, NY 10023 | 2018-01-01 |
| Find all providers in zip 10023 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1235541038 | Azaz Awan | Dentist | 335 Malcolm X Blvd, New York, NY 10027-3703 | 2014-05-28 |
| 1699196329 | Majid Jamali, Dmd, P.C. | Dentist | 42 Broadway Ste 1501, New York, NY 10004-1617 | 2013-12-24 |
| 1518268739 | Abdul Basit Karim | Dentist | 1111 Amsterdam Ave # 205, St. Luke's-roosevelt Hospital Center, New York, NY 10025-1716 | 2010-11-04 |
| 1134356157 | Anayo Obi Adachie | Dentist | 10 Union Sq E Ste 5b, New York, NY 10003-3314 | 2009-06-17 |
| 1598991044 | Leslie Abraham | Dentist | 200 E 57th St, Apt 5j, New York, NY 10022-2860 | 2009-06-10 |
| 1316173537 | Jennifer Frangos | Dentist | 13 W 13th St Apt 5bs, Oral & Maxillofacial Surgery, New York, NY 10011-8122 | 2009-06-02 |
| 1821223041 | Marcello Guglielmi | Dentist | 1775 Grand Councourse, 6 Th Floor, Bronx-lebanon Hospital Center, New York, NY 10453 | 2009-05-18 |
| 1346484342 | Joshua Carey Wolf | Dentist | 956 5th Ave, New York, NY 10075-1746 | 2009-04-22 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on UPPER WEST SIDE ORAL & MAXILLOFACIAL SURGERY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.