DENTAL ANESTHESIA OF NEW YORK, LLC
NPI 1437509841
Dentist - Dentist Anesthesiologist in New York, NY

Active since June 16, 2016
410 W 53RD ST APT 126, NEW YORK, NY 10019(215) 527-8768 Get Directions Write a Review

NPPES record last updated: June 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dental Anesthesia Of New York, Llc NPPES

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

DENTAL ANESTHESIA OF NEW YORK, LLC (NPI 1437509841) is a healthcare organization registered as a dentist anesthesiologist in New York, New York and active in the NPI registry since June 2016. The organization lists Phong Ta, Dentist Anesthesiologist/owner, as its authorized official.

NPPES Registry Identity

NPI1437509841
Entity TypeOrganization
Primary Taxonomy1223D0004X
Legal Business NameDENTAL ANESTHESIA OF NEW YORK, LLC
Location Address410 W 53RD ST APT 126New York, NY 10019-5693
Mailing Address410 W 53rd St Apt 126New York, NY 10019-5693 · (215) 527-8768
Organization SubpartNo
Authorized OfficialPhong TaDentist Anesthesiologist/owner · (215) 527-8768
Enumeration DateJune 16, 2016
NPI 1437509841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License Licensed in NY · 054360
Definition
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
410 W 53RD ST APT 126, New York, NY 10019

Other Identifiers 1

Medicaid03203894NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Dental Anesthesia Of New York, LLC's NPI number?

The NPI number for Dental Anesthesia Of New York, LLC is 1437509841. It was assigned to this organization in the NPPES registry on June 16, 2016.

Where is Dental Anesthesia Of New York, LLC located?

Dental Anesthesia Of New York, LLC is located at 410 W 53rd St Apt 126, New York, NY 10019. The listed phone number is (215) 527-8768.

What is Dental Anesthesia Of New York, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Dental Anesthesia Of New York, LLC was last updated on June 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.