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URBAN PEDIATRIC DENTAL PC NPI 1699076083


NPI Information

NPI: 1699076083
Provider Name: URBAN PEDIATRIC DENTAL PC
Classification: Exclusive Provider Organization - 302F00000X
Entity Type: Organization
Address:
128 MOTT STREET
SUITE 203
NEW YORK, NY
ZIP 10013
Phone: (212) 965-8113
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URBAN PEDIATRIC DENTAL PC is an exclusive provider organization in New York, NY. The provider is (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. URBAN PEDIATRIC DENTAL PC NPI is 1699076083. The provider is registered as an organization entity type.

The provider's business location address is:

128 MOTT STREET
SUITE 203
NEW YORK, NY
ZIP 10013-575
Phone: (212) 965-8113

The provider's authorized official is Jessica Loo Marn .
The authorized official title is Practice Owner and has the following contact phone number (212) 965-8113.

The enumeration date for this NPI number is 11/16/2010 and was last updated on 1/24/2013.


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
1302R00000XHealth Maintenance Organization0535941NEW YORKNo
2302F00000XExclusive Provider Organization0497501NEW 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
102902734MEDICAIDNEW 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: 4/28/2024

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