BARRY ELAAHI, DDS, PC (NPI# 1477006476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477006476 |
| Entity Type | Organization |
| Organization Name | BARRY ELAAHI, DDS, PC |
| Practice Address |
200 E Eckerson Rd Suite 240 New City NY 10956-7153 |
| Practice Telephone | 8453520520 |
| Mailing Telephone | 8453520520 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-07-27 |
| Authorized Official Name | BAHRAM ELAAHI (OWNER) |
| Authorized Official Telephone | 8456417028 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
056515-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03830628 | 05 |
| Street Address |
200 E ECKERSON RD SUITE 240 |
| City | NEW CITY |
| State | NY |
| Zip Code | 10956-7153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639158116 | Peter C Friedman | Specialist | 200 E Eckerson Rd, New City, NY 10956-7153 | 2006-01-12 |
| 1063803401 | New City Rx LLC | Pharmacy | 200 E Eckerson Rd, New City, NY 10956-7164 | 2015-02-06 |
| 1770998635 | Eckerson Pharmacy Corp. | Pharmacy | 200 E Eckerson Rd, New City, NY 10956-7153 | 2014-06-30 |
| 1205259082 | Norbert W. Rainford Md, Pllc | Clinic/Center | 200 E Eckerson Rd, Suite 200, New City, NY 10956-7153 | 2014-01-29 |
| 1457782070 | Amanda Staffiero | Physical Therapist | 200 E Eckerson Rd, New City, NY 10956-7153 | 2013-12-07 |
| 1831539493 | Access Physical Therapy Wellness Rockland Pllc | Physical Therapist | 200 E Eckerson Rd, Suite 290, New City, NY 10956-7153 | 2013-06-27 |
| 1710225149 | Tracy Urvater | Physical Therapist | 200 E Eckerson Rd, Suite 290, New City, NY 10956-7153 | 2013-01-18 |
| 1235381443 | Srinath Thoompally | Pharmacist | 200 E Eckerson Rd, New City, NY 10956-7153 | 2008-10-21 |
| 1013190396 | Peter C. Friedman, M.d., P.C. | Specialist | 200 E Eckerson Rd, New City, NY 10956-7153 | 2007-12-10 |
| 1881876811 | Mark Stuart Hirsch | Dentist | 200 E Eckerson Rd, Suite 2-3, New City, NY 10956-7153 | 2007-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659703 | Shadae Keilia Kleckley | Technician | 19 Dixwell Road, New City, NY 10956 | 2019-10-03 |
| 1326518911 | Jenna Marie Rogoff | Occupational Therapy Assistant | 254 S Main Street Suite 400, New City, NY 10956 | 2018-11-27 |
| 1326515065 | Dynamic Dental Arts of Rockland Pllc | Dentist | 345 North Main St. Ste. 5, New City, NY 10956 | 2018-10-31 |
| 1760981062 | Alyssa Rothschild Taxin | Nutritionist | 18 Snowdrop Drive, New City, NY 10956 | 2018-02-02 |
| 1245738103 | Martin A Petersel | Counselor | 3 Rexal Court, New City, NY 10956 | 2018-01-25 |
| 1831601475 | Carissa Aurellano | Occupational Therapist | 873 Rte 45 Ste 102, New City, NY 10956 | 2017-11-03 |
| 1376064055 | Evelyn Ringel | Specialist | 14 Concord Drive, New City, New City, NY 10956 | 2017-07-03 |
| 1720517089 | Orlee Elizabeth Krass | Specialist | 2, Woodland Road, New City, NY 10956 | 2017-06-08 |
| 1639617293 | Ann Damiani Orlando | Registered Nurse | 32 Twin Elms Lane, New City, NY 10956 | 2017-02-03 |
| 1225496300 | Timber Counseling Corp. | Community/Behavioral Health | 115 North Main Street, New City, NY 10956 | 2016-02-04 |
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| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487741831 | George Menken Dds PC | Dentist | 180 Phillips Hill Road, New City, NY 10956 | 2006-10-06 |
| 1376643270 | Melvin B Borg | Dentist | 39 Christopher Dr, New City, NY 10956-4041 | 2006-09-22 |
| 1477565448 | Irwin Steven Schiff | Dentist | 100 Phillips Hill Rd, New City, NY 10956-4134 | 2006-08-11 |
| 1932524188 | Clemente Orthodontics of New York PC | Dentist | 603 Route 304, New City, NY 10956-2919 | 2014-02-25 |
| 1477712149 | Ian D Sobler | Dentist | 339 N Main St, Ste 7-8, New City, NY 10956-4300 | 2008-06-06 |
| 1609070697 | Terry J Sobler Dmd PC | Dentist | 339 N Main St, New City, NY 10956-4300 | 2007-06-13 |
| 1437280666 | Suresh Ramaswamy | Dentist | 515 Route 304, Suite 2f-w, New City, NY 10956-3037 | 2007-03-08 |
| 1356420202 | Karen Legunn | Dentist | 345 N Main St, New City, NY 10956-4305 | 2006-11-03 |
| 1568559912 | George Menken | Dentist | 180 Phillips Hill Road, New City, NY 10956 | 2006-10-06 |
| 1427065044 | Martin Jay Colton | Dentist | 200 E Eckerson Rd, 240, New City, NY 10956-7153 | 2006-08-03 |
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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.