NEW ROCHELLE KIDS DENTAL (NPI# 1780072165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780072165 |
| Entity Type | Organization |
| Organization Name | NEW ROCHELLE KIDS DENTAL |
| Practice Address |
77 Quaker Ridge Rd Suite 210 New Rochelle NY 10804-2808 |
| Practice Telephone | 9146322800 |
| Practice Fax Number | 9145602075 |
| Mailing Telephone | 9146322800 |
| Mailing Fax Number | 9145602075 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | DR. MOONSUN KIM (DOCTOR) |
| Authorized Official Telephone | 9146322800 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
049857 | NY | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NEW ROCHELLE KIDS DENTAL, P.C. | 77 Quaker Ridge Rd., #210, New Rochelle, New York 10804 |
| Street Address |
77 QUAKER RIDGE RD SUITE 210 |
| City | NEW ROCHELLE |
| State | NY |
| Zip Code | 10804-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532822 | Maria L Wing | Internal Medicine | 77 Quaker Ridge Rd, Suite 200a, New Rochelle, NY 10804-2808 | 2005-07-17 |
| 1790149235 | New Rochelle Oral Surgery | Dentist | 77 Quaker Ridge Rd, Suite 212, New Rochelle, NY 10804-2808 | 2016-04-11 |
| 1972873693 | Liliya Sikyrynska | Physician Assistant | 77 Quaker Ridge Rd, Suite 200a, New Rochelle, NY 10804-2808 | 2012-01-11 |
| 1831473222 | Weill Medical College of Cornell University | Internal Medicine | 77 Quaker Ridge Rd, New Rochelle, NY 10804-2808 | 2011-10-04 |
| 1124277348 | Lesa A. Kelly Md Pllc | Dermatology | 77 Quaker Ridge Rd, Suite 200a, New Rochelle, NY 10804-2808 | 2008-09-11 |
| 1619134673 | New Rochelle Orthodontics PC | Dentist | 77 Quaker Ridge Rd, #202, New Rochelle, NY 10804-2808 | 2008-05-19 |
| 1073787438 | Ira J. Sutton Md | Clinic/Center | 77 Quaker Ridge Rd, Suite 101, New Rochelle, NY 10804-2808 | 2008-04-16 |
| 1023206000 | Barry W. Langsam, D.d.s.,pllc | Dentist | 77 Quaker Ridge Rd, 212, New Rochelle, NY 10804-2808 | 2007-10-04 |
| 1871783571 | Karen Haghenbeck | Registered Nurse | 77 Quaker Ridge Rd, North Ridge Medical Associates, New Rochelle, NY 10804-2808 | 2007-07-29 |
| 1881897478 | Paul Giotopoulos | Dentist | 77 Quaker Ridge Rd, Suite 206, New Rochelle, NY 10804-2808 | 2007-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536331 | Samori Pennant | Social Worker | 2 Pell Place, New Rochelle, NY 10804 | 2017-09-07 |
| 1386065050 | Benjamin Jacob Rafalowicz | Occupational Therapist | 86 Wykagyl Ter, New Rochelle, NY 10804 | 2013-12-26 |
| 1215376694 | Kamyar Nabegh | Family Medicine | Gohealth Urgent Care, 77 Quaker Ridge Road, Suite #4, Scarsdale, NY 10804 | 2013-06-19 |
| 1548500358 | Susan J. Gelb | Occupational Therapist | 4 Hayhurst Road, New Rochelle, NY 10804 | 2013-02-15 |
| 1689930935 | Ps/ms3 | Local Education Agency (LEA) | 11 Owen Road, New Rochelle, NY 10804 | 2012-04-11 |
| 1003186768 | Elliot Resnick | Counselor | 111 Bon Air Ave., New Rochelle, NY 10804 | 2012-01-11 |
| 1528355542 | Barbara Jean Wilson James | Registered Nurse | 176 Wilmot Rd, New Rochelle, NY 10804 | 2011-06-29 |
| 1821387762 | Stephen Pasqua | Dentist | 21 Sicard Ave, New Rochelle, NY 10804 | 2011-03-31 |
| 1063722668 | Ayala Helft | Speech-Language Pathologist | 86 Aberfoyle Rd., New Rochelle, NY 10804 | 2010-10-15 |
| 1659697498 | Judith M. Makman | Speech-Language Pathologist | 15 Crestwood Ln, New Rochelle, NY 10804 | 2010-04-19 |
| Find all providers in zip 10804 | ||||
| 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 |
|---|---|---|---|---|
| 1396194478 | Amanda Dewundara | Dentist | 110 Lockwood Ave Ste 201, New Rochelle, NY 10801-5011 | 2016-06-08 |
| 1073516084 | Allen M. Greenberg | Dentist | 110 Lockwood Ave, New Rochelle, NY 10801-5028 | 2005-05-23 |
| 1083870273 | Caring for Kids Pediatric Dentistry, P.C. | Dentist | 140 Lockwood Ave, Suite 315, New Rochelle, NY 10801-4915 | 2008-08-06 |
| 1598977118 | Ivis M. Getz | Dentist | 140 Lockwood Ave, Suite 315, New Rochelle, NY 10801-4915 | 2007-05-04 |
| 1710011242 | Penny Resnick-graulich | Dentist | 77 Quaker Ridge Rd, Suite 210, New Rochelle, NY 10804-2808 | 2007-03-15 |
| 1750425971 | Allen M. Greenberg, Dds and Associates | Dentist | 110 Lockwood Ave, New Rochelle, NY 10801-5028 | 2007-02-19 |
| 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 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| Find all providers with the same taxonomy | ||||
| City | NEW ROCHELLE |
| Zip Code | 10804 |
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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.