JESAL SHAH, DMD, P.C. (NPI# 1366985491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366985491 |
| Entity Type | Organization |
| Organization Name | JESAL SHAH, DMD, P.C. |
| Practice Address |
4609 5th Ave 2nd Floor Brooklyn NY 11220-1207 |
| Practice Telephone | 7188543191 |
| Practice Fax Number | 7189091635 |
| Mailing Telephone | 7188543191 |
| Mailing Fax Number | 7189091635 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Authorized Official Name | DR. JESAL SHAH (PRESIDENT) |
| Authorized Official Telephone | 5163952659 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
052986 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03476693 | 05 |
| Street Address |
4609 5TH AVE 2ND FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11220-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760584361 | Steven Michael Schlamowitz | Pediatrics | 4609 5th Ave, Brooklyn, NY 11220-1207 | 2006-09-02 |
| 1275740656 | Josefina S. Velasquez | Internal Medicine | 4609 5th Ave, Brooklyn, NY 11220-1207 | 2007-05-16 |
| 1124232517 | Der-cheng Tsung | Psychiatry & Neurology | 4609 5th Ave, Brooklyn, NY 11220-1207 | 2007-05-09 |
| 1952498750 | Purnima M Kothari | Pediatrics | 4609 5th Ave, Brooklyn, NY 11220-1207 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231797 | Tingting Chen | Nurse Practitioner | 5618 7th Ave Brooklyn, New York, NY 11220 | 2020-09-28 |
| 1194345306 | Laura Cafro | Nurse Practitioner | 150 55 Th St, Brooklyn, NY 11220 | 2020-04-17 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| 1508405689 | Modern Eyes Optical LLC | Technician/Technologist | 5020 8th Ave, Modern Eyes Optical, Brooklyn, NY 11220 | 2020-01-06 |
| 1700437381 | Gabriella Scaglione | Dental Hygienist | 5800 2nd Ave, Brooklyn, NY 11220 | 2019-09-24 |
| 1316597958 | Labq Clinical Diagnostics LLC Dba Labq Diagnostics | Clinical Medical Laboratory | 140 58th St. Bldg A, Suite 3l, Brooklyn, NY 11220 | 2019-09-16 |
| 1578116265 | Jing Li | Registered Nurse | 59-56 Brooklyn, Kings, NY 11220 | 2019-07-22 |
| 1518520675 | Robert W Tan | Dentist | 3d Dental Implant Center, 5321 7th Avenue, Brooklyn, NY 11220 | 2019-04-15 |
| 1548729775 | Ayah Rashwan | Student in an Organized Health Care Education/Training Program | Nyu Langone Health 150 55th St, Brooklyn, NY 11220 | 2019-03-18 |
| 1477012854 | Jeffrey A Dang | Physician Assistant | 5517 7th Ave. #1f, Brooklyn, NY 11220 | 2019-03-15 |
| Find all providers in zip 11220 | ||||
| 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 |
|---|---|---|---|---|
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| 1194149674 | Georgetowndentalspa LLC | Dentist | 2167 Ralph Ave, Brooklyn, NY 11234 | 2014-02-05 |
| 1831539832 | Barrington Oneal Anderson | Dentist | 3304 Glenwood, Prism Dental PC, Brooklyn, NY 11210 | 2013-07-05 |
| 1043568751 | Ghazal Mahjoubi | Dentist | 120 Nassau Ave Brooklyn Ny, Brooklyn, NY 11222 | 2012-08-28 |
| 1740572841 | Oluremi Ogunsanya | Dentist | 1610 E 19th St Ste 1, Brooklyn, NY 11229-1375 | 2011-05-06 |
| 1740418961 | Garry Shnayder | Dentist | 1512 Avenue Z, Brooklyn, NY 11235-3808 | 2009-06-25 |
| 1790926244 | James C Kang | Dentist | 155 Ashland Pl, Brooklyn, NY 11201-5401 | 2009-03-12 |
| 1760637672 | Yuriy Yusupov | Dentist | 7901 4th Ave Ste A3, Brooklyn, NY 11209-3970 | 2008-11-19 |
| 1902053804 | Mikhail Ruvinsky | Dentist | 2973 Ocean Ave, Brooklyn, NY 11235-3201 | 2008-08-21 |
| 1265688691 | Igor Tarlo | Dentist | 1951 E 26th St, Brooklyn, NY 11229-2439 | 2008-08-18 |
| 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.