REVAZ BERIDZE DDS
NPI 1073642823
Dentist - General Practice in Forest Hills, NY

Active since March 05, 2007
10440 QUEENS BLVD, #1Y, FOREST HILLS, NY 11375(718) 459-3159(718) 459-3148 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Revaz Beridze Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REVAZ BERIDZE DDS (NPI 1073642823) is an individual general practice provider in Forest Hills, New York, licensed in New York (046224-1) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1073642823
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameREVAZ BERIDZECredential: DDS
Location Address10440 QUEENS BLVD, #1YForest Hills, NY 11375-3658
Mailing Address10440 Queens Blvd, #1yForest Hills, NY 11375-3658 · (718) 459-3159 · Fax (718) 459-3148
Fax(718) 459-3148
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1073642823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 046224-1
Definition

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.

10440 QUEENS BLVD, Forest Hills, NY 11375

Other Identifiers 1

Medicaid01616279NY

Accepted Insurance

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
10440 QUEENS BLVD, 18 Y
FOREST HILLS, NY 11375
Internal Medicine
10440 QUEENS BLVD, SUITE 1F
FOREST HILLS, NY 11375
Audiologist
10440 QUEENS BLVD, #1C
FOREST HILLS, NY 11375
Otolaryngology
10440 QUEENS BLVD
FOREST HILLS, NY 11375
Occupational Therapist (Pediatrics)
10440 QUEENS BLVD, 15F
FOREST HILLS, NY 11375
Anesthesiology
10440 QUEENS BLVD, APT 4C
FOREST HILLS, NY 11375
Early Intervention Provider Agency
10440 QUEENS BLVD, 9S
FOREST HILLS, NY 11375
Counselor (Mental Health)
10440 QUEENS BLVD, 20C
FOREST HILLS, NY 11375

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Revaz Beridze's NPI number?

The NPI number for Revaz Beridze is 1073642823. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Revaz Beridze located?

Revaz Beridze practices at 10440 Queens Blvd #1y, Forest Hills, NY 11375. The listed phone number is (718) 459-3159.

What is Revaz Beridze's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Revaz Beridze accept?

Health plans from Humana list Revaz Beridze as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Revaz Beridze was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.