2nd Avenue Tooth Doctor,pc
NPI 1538378633ActiveOrganization· Dentist, General Practice· New York, NY
Dentist, General Practice in New York, New York, registered in NPPES in May 2007. The authorized official on file is Gina Colon, Office Manager.
Overview
| NPI | 1538378633 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 22, 2007 |
| Last updated in NPPES | Jun 13, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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