ASTORIA DENTAL BROADWAY (NPI# 1730675273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730675273 |
| Entity Type | Organization |
| Organization Name | ASTORIA DENTAL BROADWAY |
| Practice Address |
31-72 31st St Suite #1 Astoria NY 11106 |
| Practice Telephone | 9295220554 |
| Mailing Telephone | 9295220554 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | ANDREW MARON (OWNER) |
| Authorized Official Telephone | 9295220554 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
043641 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TYPE 2 | 1215035134 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ASTORIA DENTAL BROADWAY, P.C. | 114 Old Country Road, Ste 212, Mineola, Ny 11501 |
| Street Address |
31-72 31ST ST SUITE #1 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492303 | Faizal Hussein | Physical Therapist | 3244 31st Street, Queens, NY 11106 | 2020-09-18 |
| 1730706086 | Stephanie J Coleman | Counselor | Enable My Child, 3545 28 St, Astoria, NY 11106 | 2020-07-02 |
| 1144870056 | Theresa Pizinger | Nurse Practitioner | 3157 31st St, Phf, Long Island City, NY 11106 | 2019-09-13 |
| 1881164564 | Adam Christopher Maslowski | Social Worker | 34-11 Vernon Blvd., Long Island City, NY 11106 | 2018-11-26 |
| 1225552037 | Joslynn Ramos | Social Worker | 14-15 Broadway, Astoria, NY 11106 | 2017-08-02 |
| 1790208791 | Sheilla Jean Baptiste Hadid | Prevention Professional | 34 59 Vernon Blvd Apt 1f, Astoria, NY 11106 | 2017-07-21 |
| 1396267225 | Serena Cisneros | Counselor | 34-25 Vernon Blvd, Long Island City, NY 11106 | 2017-07-12 |
| 1538689302 | Dara Michelle Lazar | Massage Therapist | 14-17 31st Avenue, Apt 2b, Astoria, NY 11106 | 2017-06-22 |
| 1093241143 | Kimlong Chan | Student in an Organized Health Care Education/Training Program | 2320 31st Avenue, Astoria, NY 11106 | 2017-05-11 |
| 1891236113 | Nina Parvin | Occupational Therapy Assistant | 36-36 33rd St #500, Therapeutic Resources, Long Island City, NY 11106 | 2017-03-20 |
| Find all providers in zip 11106 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689817 | Vincent Kirse | Dentist | 940 Astor St Ste C, Astoria, OR 97103-4213 | 2018-08-20 |
| 1205363884 | Emanuel Papadopoulos | Dentist | 3044 36th St, Astoria, NY 11103 | 2017-05-15 |
| 1639561152 | Wajih Chammae | Dentist | 3242 41st St Apt 1b, Astoria, NY 11103-3517 | 2015-02-19 |
| 1215334644 | Jovanka Zivkovic | Dentist | 3013 Steinway St, Astoria, NY 11103-3456 | 2014-12-01 |
| 1457760597 | Gary Tong | Dentist | 32-31 43rd St, Astoria, NY 11103-2703 | 2014-08-02 |
| 1679836100 | Adrian Weifung Lau | Dentist | 3172 31st St, Astoria, NY 11106-2581 | 2012-06-19 |
| 1568728889 | Klemp Family Dentistry | Dentist | 1006 W Marine Dr, Astoria, OR 97103-5826 | 2012-04-11 |
| 1497031157 | Hyo-jin Kim | Dentist | 3274 33rd St Apt 1f, Astoria, NY 11106-2123 | 2011-10-26 |
| 1891073029 | Astoria Dental Town PC | Dentist | 3060 Steinway St Fl 2, Astoria, NY 11103-3854 | 2011-07-21 |
| 1871885673 | Sound Medical Care Services PC | Dentist | 3027 30th St, Suite 1, Astoria, NY 11102-2261 | 2011-05-11 |
| Find all providers in ASTORIA | ||||
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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.