OrganizationActive
99-04 57th Avenue, Inc.
NPI 1679977680 · Dental Clinic/Center · Corona, NY
99-04 57th Avenue, Inc. is a Dental Clinic/Center organization in Corona, NY (NPI 1679977680).
Provider details
- NPI number
- 1679977680
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maria Acebo, Owner(718) 760-0471
- License
- 0438701 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9904 57th Ave
Suite Lh
Corona, NY 11368-3746
Phone: (718) 760-0471
Fax: (718) 760-4739
Street-level locationGet directions
Mailing address
9904 57th Ave
Corona, NY 11368-3746
Registry dates
- Enumerated
- 2014-10-20
- Last updated
- 2014-10-20
Frequently asked questions
- What is 99-04 57th Avenue, Inc.'s NPI number?
- 99-04 57th Avenue, Inc.'s National Provider Identifier (NPI) is 1679977680, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 99-04 57th Avenue, Inc.?
- 99-04 57th Avenue, Inc. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is 99-04 57th Avenue, Inc. located?
- 99-04 57th Avenue, Inc.'s practice location on file with NPPES is 9904 57th Ave, Corona, NY 11368-3746.
- What is 99-04 57th Avenue, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for 99-04 57th Avenue, Inc. is (718) 760-0471.
- Who is the authorized official for 99-04 57th Avenue, Inc.?
- The authorized official listed on 99-04 57th Avenue, Inc.'s NPPES record is Maria Acebo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 99-04 57th Avenue, Inc.'s NPI active?
- Yes — 99-04 57th Avenue, Inc.'s NPI (1679977680) is active in the NPPES registry as of the last update on 2014-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.