- Practice location
- 360 W 125TH St, Suite 8, New York, NY 10027-4801
- Phone
- 646-221-8944
- Fax
- —
- Last updated
- January 14, 2014
125TH Street Orthodontics, PC is a healthcare organization based in New York, NY. 125TH Street Orthodontics, PC practices in New York, NY. The NPI Number for 125TH Street Orthodontics, PC is 1992127765 and holds a License No. 046957 (NY). The current practice location address for 125TH Street Orthodontics, PC is 360 W 125TH St, Suite 8, New York, NY 10027-4801 and can be reached out via phone at 646-221-8944.
Provider Profile Details
- NPI Number
- 1992127765
- Provider Name
- 125TH Street Orthodontics, PC
- Provider Entity Type
- Organization
- Address
- 360 W 125TH St, Suite 8, New York, NY 10027-4801
- Phone Number
- 646-221-8944
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dr. Kenneth Bruce Cooperman, DMD · Secretary · 646-221-8944
- Provider Enumeration Date
- January 14, 2014
- Last Update Date
- January 14, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 360 W 125TH St
Suite 8
New York, NY 10027-4801 - City
- New York
- State
- New York
- Zip
- 10027-4801
- Phone Number
- 646-221-8944
Provider Business Mailing Address Details
- Address
- 789 W End Ave
Apt.. 12-A
New York, NY 10025-5469 - City
- New York
- State
- NY
- Zip
- 10025-5469
- Phone Number
- 646-221-8944
- Fax Number
- 212-233-8348
License Information
- License Number
- 046957
- License State
- NY
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Dental providers near New York, NY
View all Clinic/Center, Dental providers in New York →Frequently Asked Questions
What is the NPI number of 125TH Street Orthodontics, PC?
The NPI number of 125TH Street Orthodontics, PC is 1992127765. It was assigned on January 14, 2014 and is currently active in the NPPES registry.
What is the specialty of 125TH Street Orthodontics, PC?
125TH Street Orthodontics, PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X), licensed in NY under license number 046957.
Where does 125TH Street Orthodontics, PC practice?
The practice location is 360 W 125TH St, Suite 8, New York, NY 10027-4801. The office can be reached at 646-221-8944 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992127765 directly on the NPPES registry website.