MEDIDENTAL GROUP LLC
NPI 1518439967
Clinic/Center - Multi-Specialty in Astoria, NY
About Medidental Group Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDIDENTAL GROUP LLC (NPI 1518439967), doing business as Medidental Care, is a healthcare organization registered as a multi-specialty in Astoria, New York and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Emanuel Inoyatov, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2322843
Medidental · Astoria, NYOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Medidental Group LLC's NPI number?
The NPI number for Medidental Group LLC is 1518439967. It was assigned to this organization in the NPPES registry on December 26, 2018. The provider is doing business as MediDental Care.
Where is Medidental Group LLC located?
Medidental Group LLC is located at 2246 31st St, Astoria, NY 11105. The listed phone number is (347) 283-2396.
What is Medidental Group LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Does Medidental Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2322843) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Medidental Group LLC was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Medidental Group Llc · NPI 1518439967
Multi-Specialty organization in Astoria, New York. Organization record, active in the CMS NPPES registry since December 26, 2018.
## Identity
- **NPI:** 1518439967 (Entity type: Organization)
- **Enumerated:** December 26, 2018
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** MediDental Care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Emanuel Inoyatov, CEO
## Practice location
- **Address:** 2246 31ST ST, Astoria, NY 11105-2786
- **Phone:** (347) 283-2396
## Record status
- **NPPES last updated:** April 15, 2025
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1518439967) · Data from the CMS NPPES public registry.