DR. RANDI G WISTON (NPI# 1124168687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124168687 |
| Entity Type | Individual |
| Full Name | DR. RANDI G WISTON |
| Credential | DMD |
| Practice Address |
2649 Strang Boulevard Suite 202 Yorktown Heights NY 10598 |
| Practice Telephone | 9142456642 |
| Practice Fax Number | 9142456728 |
| Mailing Telephone | 9142456642 |
| Mailing Fax Number | 9142456728 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
041408 | NY | Dental Providers |
| Street Address |
2649 STRANG BOULEVARD SUITE 202 |
| City | YORKTOWN HEIGHTS |
| State | NY |
| Zip Code | 10598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447715859 | Francoise Alice Stine | Registered Nurse | 162 Tomahawk Street, Yorktown Heights, NY 10598 | 2019-02-10 |
| 1184170771 | I Heart Soul | Community/Behavioral Health | 240 Underhill Ave Apt 6, Yorktown Heights, NY 10598 | 2016-09-01 |
| 1881147338 | Alexandra Bucci | Speech-Language Pathologist | 143 California Road, Yorktown Heights, NY 10598 | 2016-08-02 |
| 1821488016 | Judith Lynn Baddeley | Behavioral Analyst | 2293 William Court, Yorktown Heights, NY 10598 | 2015-01-27 |
| 1275931362 | Deborah Ann Roffi | Licensed Practical Nurse | 420 Cording Road, Yorktown, NY 10598 | 2014-12-05 |
| 1932506433 | Cindi Bane | Dentist | 206 Veterans Road, Suite 7, Yorktown Heights, NY 10598 | 2014-11-26 |
| 1992105068 | Kerry Farrell | Speech-Language Pathologist | 369 Birdsall Dr, Yorktown Heights, NY 10598 | 2014-08-26 |
| 1306255500 | Ursula Sanchez | Occupational Therapist | 57 Oslo Drive, Bronx, NY 10598 | 2014-08-13 |
| 1922410463 | Dana Linden | Behavioral Analyst | 3595 Strang Blvd Apt A, Yorktown Heights, NY 10598 | 2014-06-02 |
| 1598192361 | Barbara Ann Nuccio | Registered Nurse | 1431 Chatham Lane, Yorktown Heights, NY 10598 | 2013-10-10 |
| Find all providers in zip 10598 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629443379 | Hudson Valley Oral Surgery, Pllc | Dentist | 2649 Strang Blvd Ste 202, Hudson Valley Oral Surgery, Pllc, Yorktown Heights, NY 10598-2938 | 2015-12-07 |
| 1376671586 | Anthony Michael Del Vecchio | Dentist | 3535 Hill Blvd, Suite N, Yorktown Heights, NY 10598-1293 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
| 1700420429 | Chavkin Oral and Maxillofacial Surgery LLC | Dentist | 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 | 2019-11-06 |
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1750947792 | Eduard Munarov Dds PC | Dentist | 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 | 2019-05-15 |
| 1598227530 | Asnis Dental Pllc | Dentist | 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 | 2019-04-01 |
| 1720545387 | Asnis Dental, Pllc | Dentist | 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 | 2019-03-01 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| Find all providers with the same taxonomy | ||||
| City | YORKTOWN HEIGHTS |
| Zip Code | 10598 |
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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.