125TH STREET ORTHODONTICS PC NPI 1992127765

NPI Information

NPI: 1992127765
Provider Name: 125TH STREET ORTHODONTICS, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
360 W 125TH ST
SUITE 8
NEW YORK, NY
ZIP 10027
Phone: (646) 221-8944
Get Directions

125TH STREET ORTHODONTICS, PC is a dental clinic center in New York, NY. 125TH STREET ORTHODONTICS, PC NPI is 1992127765. The provider is registered as an organization entity type.

The provider's business location address is:

360 W 125TH ST
SUITE 8
NEW YORK, NY
ZIP 10027-801
Phone: (646) 221-8944

The provider's authorized official is Kenneth Bruce Cooperman .
The authorized official title is Secretary and has the following contact phone number (646) 221-8944.

The enumeration date for this NPI number is 1/14/2014 and was last updated on 1/14/2014.

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	261QD0000X	Clinic/Center	Dental	046957	NEW YORK	Yes

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
1	02207707	MEDICAID	NEW 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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »