DR. MAYRA SUERO-WADE DDS NPI 1467788240

NPI Information

NPI: 1467788240
Provider Name: DR. MAYRA SUERO-WADE, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
630 W 168TH ST FL 3
COLUMBIA UNIVERSITY - DENTCA
NEW YORK, NY
ZIP 10032
Phone: (201) 825-3073
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DR. Mayra Suero-wade, DDS is a general practice dentist in New York, NY. The provider is 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. DR. Mayra Suero-wade, DDS NPI is 1467788240. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

630 W 168TH ST FL 3
COLUMBIA UNIVERSITY - DENTCA
NEW YORK, NY
ZIP 10032-725
Phone: (201) 825-3073

The NPI 1467788240 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 10/28/2009 and was last updated on 3/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	22DI01675700	NEW JERSEY	No
2	1223G0001X	Dentist	General Practice	10775	MARYLAND	No
3	1223G0001X	Dentist	General Practice	042746	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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