FACULTY PRACTICE SOUTH
NPI 1780804344
Clinic/Center - Dental in New York, NY
About Faculty Practice South NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FACULTY PRACTICE SOUTH (NPI 1780804344) is a healthcare organization registered as a dental in New York, New York and active in the NPI registry since April 2007. The organization lists Robert S Glickman, Assoc Dean Clinical Affairs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Faculty Practice South is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Faculty Practice South, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (15)
New York, NY 10010
New York, NY 10016
New York City, NY 10016
Stony Brook, NY 11794
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nyu College Of Dentistry's NPI number?
The NPI number for Nyu College Of Dentistry is 1780804344. It was assigned to this organization in the NPPES registry on April 26, 2007. The provider is also known as Faculty Practice South.
Where is Nyu College Of Dentistry located?
Nyu College Of Dentistry is located at 726 Broadway Suite 350, New York, NY 10003. The listed phone number is (212) 443-1300.
What is Nyu College Of Dentistry's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is Nyu College Of Dentistry enrolled in Medicare?
Yes. Nyu College Of Dentistry is registered in the Medicare PECOS enrollment system.
When is Nyu College Of Dentistry's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Nyu College Of Dentistry?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 6 Medicare specialties reassign their Medicare billing to Nyu College Of Dentistry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Dentist (4), Maxillofacial Surgery (4) and Oral Surgery (4). Of these, 2 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nyu College Of Dentistry was last updated on April 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Faculty Practice South · NPI 1780804344
Dental organization in New York, New York. Organization record, active in the CMS NPPES registry since April 26, 2007.
## Identity
- **NPI:** 1780804344 (Entity type: Organization)
- **Enumerated:** April 26, 2007
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Legal business name:** Nyu College Of Dentistry
- **Organization subpart:** No
- **Authorized official:** Robert Glickman, ASSOC DEAN CLINICAL AFFAIRS
## Practice location
- **Address:** 726 BROADWAY, SUITE 350, New York, NY 10003-9502
- **Phone:** (212) 443-1300 · **Fax:** (212) 443-1331
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 15 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dentist (4), Maxillofacial Surgery (4), Oral Surgery (4); 2 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 16, 2019
---
Source: [NPI Profile](https://npiprofile.com/npi/1780804344) · Data from the CMS NPPES public registry.