BROADWAY DENTAL OFFICE, P.C
NPI 1568634780
Dentist - General Practice in New York, NY

Q: What is Broadway Dental Office, P.C's NPI number?

The NPI number for Broadway Dental Office, P.C is 1568634780. It was assigned to this organization in the NPPES registry on March 27, 2008.

Q: What is Broadway Dental Office, P.C's specialty?

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

Active since March 27, 2008

577 ISHAM ST, NEW YORK, NY 10034(212) 942-9900(212) 942-2322 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Broadway Dental Office, P.c NPPES

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

BROADWAY DENTAL OFFICE, P.C (NPI 1568634780) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since March 2008. The organization lists Ysabel Ulerio, President, as its authorized official.

NPPES Registry Identity

NPI1568634780

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameBROADWAY DENTAL OFFICE, P.C

Location Address577 ISHAM STNew York, NY 10034-2034

Mailing Address577 Isham StNew York, NY 10034-2034 · (212) 942-9900 · Fax (212) 942-2322

Phone(212) 942-9900

Fax(212) 942-2322

Organization SubpartNo

Authorized OfficialYsabel UlerioPresident · (212) 942-9900

Enumeration DateMarch 27, 2008

✔ NPI 1568634780 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 · 045323

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.

577 ISHAM ST, New York, NY 10034

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Other Identifiers 1

Medicaid01510269NY

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

Other Providers at the Same Location NPPES

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

DR. ISABEL ULERIO-BONILLA DDS

Dentist

577 ISHAM ST, SUITE 1-G
NEW YORK, NY 10034

New York County (212) 942-9900

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 Broadway Dental Office, P.C's NPI number?

The NPI number for Broadway Dental Office, P.C is 1568634780. It was assigned to this organization in the NPPES registry on March 27, 2008.

Where is Broadway Dental Office, P.C located?

Broadway Dental Office, P.C is located at 577 Isham St, New York, NY 10034. The listed phone number is (212) 942-9900.

What is Broadway Dental Office, P.C's specialty?

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

When was this NPI record last updated?

The NPPES record for Broadway Dental Office, P.C was last updated on March 27, 2008. 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.