KIDS DENTAL OF STATEN ISLAND, PC (NPI# 1023292877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023292877 |
| Entity Type | Organization |
| Organization Name | KIDS DENTAL OF STATEN ISLAND, PC |
| Practice Address |
1839 N Railroad Ave Staten Island NY 10306-2020 |
| Practice Telephone | 7186675437 |
| Mailing Telephone | 7186675437 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2012-05-15 |
| Authorized Official Name | DR. LISA LAZZARA (DENTIST) |
| Authorized Official Telephone | 7186675437 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
1839 N RAILROAD AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-2020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386002814 | Vincent James Pannone | Dentist | 1839 N Railroad Ave, Staten Island, NY 10306-2020 | 2016-01-28 |
| 1336424100 | Joseph Anthony Albanese | Dentist | 1839 N Railroad Ave, Staten Island, NY 10306-2020 | 2011-10-12 |
| 1639383169 | Mark Louis Ruggeri | Dentist | 1839 N Railroad Ave, Staten Island, NY 10306-2020 | 2007-05-10 |
| 1316015803 | Jonathan Tiger | Dentist | 1839 N Railroad Ave, Staten Island, NY 10306 | 2006-12-01 |
| 1922173434 | Oakwood Dental Arts LLC | Dentist | 1839 N Railroad Ave, Staten Island, NY 10306 | 2006-11-21 |
| 1518036631 | Anthony S Pannone | Dentist | 1839 N Railroad Ave, Staten Island, NY 10306 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1861753949 | Brandon Joshua Jackson | Dentist | 70 Virginia Ave, Staten Island, NY 10305-1748 | 2012-06-05 |
| 1003054370 | Rachel Iospa | Dentist | 39 Heinz Ave, Staten Island, NY 10308-3329 | 2009-01-26 |
| 1689873614 | Abhinav Nath Sinha | Dentist | 6795 Hylan Blvd, Staten Island, NY 10309-3819 | 2007-07-11 |
| 1508994898 | Phyllis Gina Merlino | Dentist | 268 Todt Hill Rd, Staten Island, NY 10314-5532 | 2007-03-01 |
| 1174668503 | Alan Alterman | Dentist | 3611 Richmond Ave, Staten Island, NY 10312-3410 | 2007-02-21 |
| 1265495634 | Michelle Giumenta | Dentist | 2530 Amboy Rd, Staten Island, NY 10306-2220 | 2006-04-07 |
| 1316935505 | Deborah Gries | Dentist | 195 Bridgetown St, Staten Island, NY 10314-6006 | 2005-10-11 |
| 1174124291 | Sweet Tooth Pediatric Dentistry | Dentist | 6795 Hylan Blvd, Staten Island, NY 10309-3819 | 2020-11-04 |
| 1952756892 | Allison Paige Blutstein | Dentist | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2016-04-28 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.