BRONX ORAL SURGERY, PC (NPI# 1538551296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538551296 |
| Entity Type | Organization |
| Organization Name | BRONX ORAL SURGERY, PC |
| Practice Address |
355 E 149th St Rm 206 Bronx NY 10455-3909 |
| Practice Telephone | 7182927117 |
| Practice Fax Number | 7182925105 |
| Mailing Telephone | 7182927117 |
| Mailing Fax Number | 7182925105 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |
| Authorized Official Name | JERALD STEVEN FRIEDMAN (OWNER) |
| Authorized Official Telephone | 7182927117 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1659455194 | 05 |
| Street Address |
355 E 149TH ST RM 206 |
| City | BRONX |
| State | NY |
| Zip Code | 10455-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946331 | Nutrished Dietitian Nutrition Solutions, P.C. | Dietitian, Registered | 2825 Third Ave Suite #301, Bronx, NY 10455 | 2020-09-15 |
| 1538641907 | Michelle Flores | Pharmacy Technician | 754 E 151 St, Bronx, NY 10455 | 2018-09-03 |
| 1669973285 | Uhc Adult Day Program & Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 368, East 149th Street Suite 3a, Bronx, NY 10455 | 2018-02-28 |
| 1578061206 | Ursula Ma Stafford | Case Management | 391 East 149 St, Suite 417, Bronx, NY 10455 | 2018-01-29 |
| 1942714506 | Chantal J George | Case Manager/Care Coordinator | 391 East 149th Street, 417, Bronx, NY 10455 | 2017-11-18 |
| 1598295800 | Sonrisa Corp | Pharmacy | 755b East 149th St, Bronx, NY 10455 | 2017-06-19 |
| 1962931378 | Josepjh Appau | Licensed Practical Nurse | 512 Jackson Avenue, Apt 2a, Bronx, NY 10455 | 2017-06-08 |
| 1295187664 | Leticia Robles | Social Worker | 480 Concord Avenue Apt#3j, Bronx, NY 10455 | 2016-07-08 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in zip 10455 | ||||
| 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 |
|---|---|---|---|---|
| 1598192569 | Hanuman Oral Surgery Pllc | Dentist | 2070 Grand Concourse, Bronx, NY 10457-2837 | 2013-10-04 |
| 1689804569 | Katherine Kyoung-jin Lee | Dentist | 1210 Lakewood Pl, Bronx, NY 10461-1816 | 2009-07-25 |
| 1528201613 | Manhattan Oral Facial Surgery LLC | Dentist | 6118 Riverdale Ave, Bronx, NY 10471-1009 | 2009-04-20 |
| 1568517431 | Mohammad Kazem Sadeghi | Dentist | 3370 Baychester Ave, Bronx, NY 10475-1565 | 2007-01-23 |
| 1184781791 | Riverdale Oral & Maxillofacial Surgery PC | Dentist | 3333 Henry Hudson Pky, Suite 9, Bronx, NY 10463-3236 | 2007-01-02 |
| 1043396930 | Lawrence Steven Holtzman | Dentist | 1250 Waters Pl Ste 503, Bronx, NY 10461-2732 | 2006-10-31 |
| 1780684373 | Bartley R. Labiner | Dentist | 1940 Grand Concourse, Bronx, NY 10457-5221 | 2005-07-26 |
| 1033115506 | Paul Gates | Dentist | 1770 Grand Concourse, Bronx, NY 10457-5524 | 2005-06-21 |
| 1760485247 | Mauricio Wiltz | Dentist | 3332 Rochambeau Avenue, Department of Dentistry, 2nd Floor, Bronx, NY 10467-2836 | 2005-05-27 |
| 1538534854 | Oral Surgery of Riverdale, P.C. | Dentist | 3333 Henry Hudson Pkwy, Suite 9, Bronx, NY 10463-3224 | 2015-12-11 |
| Find all providers in BRONX | ||||
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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.