LONG BEACH IMAGING CENTER LLC


Address: 120 W Park Ave, Suite 306, Long Beach, NY 11561-3301
Phone: 5164310727

LONG BEACH IMAGING CENTER LLC (NPI# 1083891667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083891667
Entity Type Organization
Organization Name LONG BEACH IMAGING CENTER LLC
Practice Address 120 W Park Ave
Suite 306
Long Beach
NY 11561-3301
Practice Telephone 5164310727
Mailing Telephone 5164310727
Enumeration Date 2008-01-26
Last Update Date 2008-01-26
Authorized Official Name DR. GLEN SHANOCK (OWNER)
Authorized Official Telephone 5164310727
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist Dental Providers

Office Location

Street Address 120 W PARK AVE
SUITE 306
City LONG BEACH
State NY
Zip Code 11561-3301

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NPI Name Taxonomy Address Enumeration
1871578377 Glen Shanock Dentist 120 W Park Ave, Suite 301, Long Beach, NY 11561-3301 2005-12-07
1730628884 Glen Shanock's Dentistry, PC Dentist 120 W Park Ave, Suite 301, Long Beach, NY 11561-3301 2017-02-21
1104143353 Jay Michael Silverstein Psychologist 120 W Park Ave, Suite 2, Long Beach, NY 11561-3301 2010-04-28
1235363441 Kristina Hamilton Social Worker 120 W Park Ave, Long Beach, NY 11561-3301 2009-05-04
1811157860 Mundeep Kaur Kainth Pediatrics 120 W Park Ave, Long Beach, NY 11561-3301 2008-06-12
1245437201 Cirina Michelle Gervasi Chiropractor 120 W Park Ave, Suite 314, Long Beach, NY 11561-3301 2007-07-02
1417086083 Hearing and Speech Associates, Inc. Audiologist-Hearing Aid Fitter 120 W Park Ave, Suite 3j, Long Beach, NY 11561-3301 2007-03-02
1821012675 Daniel Edward Temple Psychologist 120 W Park Ave, Suite 307, Long Beach, NY 11561-3301 2006-07-26
1578510947 Bonnie Sue Forman-franco Audiologist 120 W Park Ave, Suite 3j, Long Beach, NY 11561-3301 2006-05-30
1861454183 Jacob Rosenberg Pediatrics 120 W Park Ave, Long Beach, NY 11561-3301 2006-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083246961 Romina Zitofsky Community Health Worker 65 Pacific Blvd, Long Beach, NY 11561 2020-02-07
1710519038 Can Flei Corp. Massage Therapist 116 Taft Ave., Long Beach, NY 11561 2020-02-05
1073032199 Sherrie Cooper Behavior Technician 554 East Pine Street, Long Beach, NY 11561 2017-09-11
1437679354 Alana Doonachar Physician Assistant 100 Belmont Avenue, Long Beach, NY 11561 2017-06-21
1023547452 Tina Bayer Nurse Practitioner 427 East Chester Street 2nd Floor, Long Beach, NY 11561 2017-06-08
1316483977 Taylor Nicole Paganini Massage Therapist 252 Grand Blvd, Long Beach, NY 11561 2017-01-06
1265803688 Stop and Shop Supermarket Co LLC Durable Medical Equipment & Medical Supplies 85 East Park Ave, Long Beach, NY 11561 2015-10-12
1588048797 Carol Bell Behavioral Analyst 121 Harding Avenue, Long Beach, NY 11561 2015-07-17
1811378821 Patricia Harris Case Manager/Care Coordinator 72 Illinios Avenue, Long Beach, NY 11561 2015-06-16
1164801916 Antonia Dileo Marriage & Family Therapist 36 Prescott Street, Lido Beach, NY 11561 2015-05-27
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Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467069633 Jonathan Beroukhim Dds Inc Dentist 6950 N Paramount Blvd, Long Beach, CA 90805-1863 2020-09-30
1093347437 Leila Zamiri Dds Inc Dentist 3317 E 10th St, Long Beach, CA 90804-5050 2020-02-04
1356971063 Michael Bui Dmd, Inc Dentist 3320 N Los Coyotes Diagonal Ste 250, Long Beach, CA 90808-3939 2020-01-22
1518508605 Wu and Najafi Dental Corporation Dentist 7370 Carson Blvd, Long Beach, CA 90808-2360 2019-10-01
1487205878 Steven Wu Dental Corporation Dentist 7603 Carson Blvd, Long Beach, CA 90808-2367 2019-09-26
1336792068 Nam G Bui Dentist 4808 Bentree Ave, Long Beach, CA 90807-1007 2019-07-22
1568023265 Alice Khieu Flores Dentist 1321 Lemon Ave, Long Beach, CA 90813-2100 2019-06-24
1427522812 Western Dental Services, Inc. Dentist 2306 E 7th Street, Long Beach, CA 90804 2019-01-18
1851875405 Ronald C. Abaro Dds Inc Dentist 627 Magnolia Ave Ste 105, Long Beach, CA 90802-1289 2018-09-19
1548754260 Peace Kim Dentistry, Inc. Dentist 3840 Woodruff Ave Ste 107, Long Beach, CA 90808-2148 2018-06-16
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Competitor

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City LONG BEACH
Zip Code 11561

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Dataset Information

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.

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