BROWNSTONE PEDIATRIC DENTISTRY (NPI# 1164974846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164974846 |
Entity Type | Organization |
Organization Name | BROWNSTONE PEDIATRIC DENTISTRY |
Practice Address |
120 Montague St Brooklyn NY 11201-3482 |
Practice Telephone | 7188552855 |
Practice Fax Number | 8662214121 |
Mailing Telephone | 7188552855 |
Mailing Fax Number | 8662214121 |
Enumeration Date | 2016-10-28 |
Last Update Date | 2016-10-28 |
Authorized Official Name | DR. MARTIN CORMAC MACDERMONTT (OWNER) |
Authorized Official Telephone | 7188552855 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
054412 | NY | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
052448 | NY | Dental Providers |
Street Address |
120 MONTAGUE ST |
City | BROOKLYN |
State | NY |
Zip Code | 11201-3482 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669545760 | Matthew L. Bellafiore | Dentist | 120 Montague St, Brooklyn, NY 11201-3466 | 2006-11-16 |
1457673295 | Margaret Hill | Speech-Language Pathologist | 120 Montague St, 13 E, Brooklyn, NY 11201-3482 | 2010-02-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
Find all providers in zip 11201 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568950186 | Donna Chen | Dentist | 390 Berry St Ste B, Brooklyn, NY 11249-6086 | 2018-04-30 |
1801316419 | Kinderee Family Dentistry | Dentist | 2905 Fort Hamilton Pkwy, Brooklyn, NY 11218-1681 | 2017-06-24 |
1265989008 | Julia Dental Pediatrics | Dentist | 310 Brighton Beach Ave, Brooklyn, NY 11235-7450 | 2016-09-09 |
1386090504 | Melissa Levinsky | Dentist | 220 72nd St Apt A2, Brooklyn, NY 11209-2140 | 2016-05-05 |
1265896849 | Esther Yun | Dentist | 250 N 10th St Apt 332, Brooklyn, NY 11211-2822 | 2016-04-08 |
1770946931 | Yellow Bear Pediatric Dentistry, Pllc | Dentist | 331 Knickerbocker Ave, Suite 3b, Brooklyn, NY 11237-3601 | 2016-04-04 |
1568822732 | Pediatric Dental and Associates of Brooklyn PC | Dentist | 2464 Coney Island Ave, 2nd Floor, Brooklyn, NY 11223-5022 | 2016-03-02 |
1750757761 | Cai Huan Zhang | Dentist | 235 Adams St Apt 5k, Brooklyn, NY 11201-2876 | 2015-08-12 |
1073996625 | Park Slope Kids Dental Care | Dentist | 150 Fouth Ave, Brooklyn, NY 11217-3145 | 2015-07-01 |
1740661172 | Carter Le | Dentist | 834 Flatbush Ave, Brooklyn, NY 11226-3102 | 2015-06-11 |
Find all providers in BROOKLYN |
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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.