BIMC FACULTY PRACTICE NPI 1902099351

NPI Information

  • NPI: 1902099351
  • Provider Name: BIMC FACULTY PRACTICE
  • Classification: Oral & Maxillofacial Surgery - 204E00000X
  • Entity Type: Organization
  • Address: 10 UNION SQ E
    SUITE 5B
    NEW YORK, NY
    ZIP 10003
  • Phone: (212) 844-8767

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NPI Details

BIMC FACULTY PRACTICE is an oral maxillofacial surgery in New York, NY. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. BIMC FACULTY PRACTICE NPI is 1902099351. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10 UNION SQ E
SUITE 5B
NEW YORK, NY
ZIP 10003-314
Phone: (212) 844-8767

The provider's authorized official is Deborah Hackett .
The authorized official title is Avp and has the following contact phone number (212) 256-3424.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 2/2/2012.

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
1207Y00000XOtolaryngologyNo
21223S0112XDentistOral and Maxillofacial SurgeryNo
3204E00000XOral & Maxillofacial SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1WZZVZ1MEDICARE PINNEW 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: 11/21/2025

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