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COLUMBUS AVENUE DENTAL ASSOCIATION NPI 1538367222


NPI Information

NPI: 1538367222
Provider Name: COLUMBUS AVENUE DENTAL ASSOCIATION
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
902 COLUMBUS AVE
NEW YORK, NY
ZIP 10025
Phone: (212) 749-5000
Get Directions

COLUMBUS AVENUE DENTAL ASSOCIATION 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. COLUMBUS AVENUE DENTAL ASSOCIATION NPI is 1538367222. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

902 COLUMBUS AVE
NEW YORK, NY
ZIP 10025
Phone: (212) 749-5000
Fax: (212) 749-5522

The provider's authorized official is Carol Poveda .
The authorized official title is President and has the following contact phone number (212) 749-5000.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice046108NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101668193MEDICAIDNEW YORK
202145435MEDICAIDNEW YORK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.