MARY IMMACULATE HOSPITAL
NPI 1316041924
Dentist - Oral and Maxillofacial Surgery in Jamaica, NY

Active since September 12, 2006
11449 SUTPHIN BLVD, JAMAICA, NY 11434(718) 558-6622 Get Directions Write a Review

NPPES record last updated: December 21, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mary Immaculate Hospital NPPES

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

MARY IMMACULATE HOSPITAL (NPI 1316041924) is a healthcare organization registered as an oral and maxillofacial surgery in Jamaica, New York and active in the NPI registry since September 2006. The organization lists Marina Adelman, Billing Department, as its authorized official.

NPPES Registry Identity

NPI1316041924
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMARY IMMACULATE HOSPITAL
Location Address11449 SUTPHIN BLVDJamaica, NY 11434-1022
Mailing Address15211 89th AveJamaica, NY 11432-3730 · (718) 743-7090
Organization SubpartNo
Authorized OfficialMarina AdelmanBilling Department · (718) 743-7090
Enumeration DateSeptember 12, 2006
Last NPPES UpdateDecember 21, 2007
NPI 1316041924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 026852
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
11449 SUTPHIN BLVD, Jamaica, NY 11434

Other Identifiers 1

Medicare UPINT50266NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Pharmacy (Community/Retail Pharmacy)
11449 SUTPHIN BLVD
JAMAICA, NY 11434
Dentist (General Practice)
11449 SUTPHIN BLVD
JAMAICA, NY 11434
Family Medicine
11449 SUTPHIN BLVD
JAMAICA, NY 11434
Pediatrics
11449 SUTPHIN BLVD
JAMAICA, NY 11434
Pharmacist
11449 SUTPHIN BLVD
JAMAICA, NY 11434

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 Mary Immaculate Hospital's NPI number?

The NPI number for Mary Immaculate Hospital is 1316041924. It was assigned to this organization in the NPPES registry on September 12, 2006.

Where is Mary Immaculate Hospital located?

Mary Immaculate Hospital is located at 11449 Sutphin Blvd, Jamaica, NY 11434. The listed phone number is (718) 558-6622.

What is Mary Immaculate Hospital's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Mary Immaculate Hospital was last updated on December 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.