DR. ROXANNA KHAJAVI (NPI# 1558604264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558604264 |
| Entity Type | Individual |
| Full Name | DR. ROXANNA KHAJAVI |
| Credential | DMD |
| Practice Address |
375 S End Ave Ste 2b New York NY 10280 |
| Mailing Address |
375 S End Ave Ste 2b New York NY 10280-1014 |
| Practice Telephone | 2127860930 |
| Mailing Telephone | 2127860930 |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DS039941 | PA | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
058344 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2525 Nostrand Ave, Brooklyn, NY 112104749 | 7183393435 | |
| 375 S End Ave Ste 2b, New York, NY 10280 | 2127860930 |
| Street Address |
375 S END AVE STE 2B |
| City | NEW YORK |
| State | NY |
| Zip Code | 10280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245616242 | Qi Lu | Acupuncturist | 375 S End Ave Suite 30g, New York, NY 10280 | 2015-08-03 |
| 1114269396 | Helen Pillai | Registered Nurse | 375 South End Ave Appt 15, New York, NY 10280 | 2013-03-26 |
| 1881994275 | Steven Gold | Family Medicine | 21 S End Ave Ph Iy, New York, NY 10280 | 2010-11-01 |
| 1881906907 | Michael Zemelman | Dentist | 250 South End Ave, New York, NY 10280 | 2010-07-06 |
| 1659696581 | Kyley Smith | Occupational Therapist | 55 Battery Pl, New York, NY 10280 | 2010-04-04 |
| 1518131150 | Nikki Nelson Difranks | Social Worker | 385 South End Avenue, Suite 7b, New York City, NY 10280 | 2008-04-15 |
| 1356308464 | Antonio Alberto Sanchez | Psychiatry & Neurology | 355 S End Ave Apt 32c, New York, NY 10280 | 2006-05-01 |
| 1780825067 | Lena Liu | Pediatrics | 99 Battery Place, #14c, Ny, NY 10280 | 2009-03-16 |
| 1700953049 | Steven David Cohen | Chiropractor | 375 South End Ave, New York, NY 10280 | 2006-11-30 |
| 1013057553 | Battery Park Pharmacy Inc | Pharmacy | 327 S End Ave, New York, NY 10280-1002 | 2007-02-07 |
| Find all providers in zip 10280 | ||||
| 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 |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1093271710 | Little Smiles Pediatric Dentistry, Pllc | Dentist | 535 Hudson Street 1c, Apt #3g, New York, NY 10014 | 2019-02-19 |
| 1659842870 | Carnegie Hill 91st St Dental | Dentist | 15 E 91st St Ste A, New York, NY 10128-0648 | 2018-12-16 |
| 1134627128 | Evan Cyrkin Dds, PC | Dentist | 146 W 83rd St, New York, NY 10024-5021 | 2018-01-25 |
| 1306352026 | Mahdieh Beheshti | Dentist | 1955 1st Ave Apt 337, New York, NY 10029-6441 | 2017-12-18 |
| 1649796491 | Central Park Dentistry, PC | Dentist | 30 Central Park S Rm 2b-2c, New York, NY 10019-1628 | 2017-08-14 |
| 1902342264 | Mark Hermano | Dentist | 42 W 85th St, Apt 2-r, New York, NY 10024-4500 | 2017-01-11 |
| 1780132670 | Chelsea Pediatric Dentistry | Dentist | 220 W 26th St, New York, NY 10001-6753 | 2016-09-20 |
| 1316492838 | Raya Abu-zahra | Dentist | 450 East 63rd St, Apt 9i, New York, NY 10065 | 2016-08-25 |
| 1295289510 | Dr Stephen J. Moss Dds Ms | Dentist | 201 E 62nd St, New York, NY 10065-7627 | 2016-08-04 |
| Find all providers in NEW YORK | ||||
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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.