DR. MICHAEL PROOTHI (NPI# 1124279856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124279856 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PROOTHI |
| Credential | DMD, MD |
| Practice Address |
207 Hallock Rd Ste 2 Stony Brook NY 11790-3072 |
| Practice Telephone | (631) 675-9601 |
| Practice Fax Number | 6316759602 |
| Mailing Telephone | 6316759601 |
| Mailing Fax Number | 6316759602 |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 260012 | NY | Allopathic & Osteopathic Physicians |
| N | 204E00000X | Oral & Maxillofacial Surgery | 051735 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
207 HALLOCK RD STE 2 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11790-3072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649807678 | Ribu Mathew | Student in an Organized Health Care Education/Training Program | Health Science Center T16, Room 020, Stony Brook, NY 11790 | 2020-03-27 |
| 1538794821 | Chaoyang Qu | Student in an Organized Health Care Education/Training Program | 9 Syncamore Dr, Stonybrook, NY 11790 | 2020-03-06 |
| 1457814824 | Brain & Spine Surgery, P.C. | Neurological Surgery | 2500 Nesconset Hwy., Bldg 18c, Stony Brook, NY 11790 | 2019-04-11 |
| 1447759741 | Susan Cuccia | Registered Nurse | 40 Sheppard Lane, Stony Brook, NY 11790 | 2018-02-02 |
| 1972022234 | Carol M Doherty | Specialist | 7 Haskel Lane, Stony Brook, NY 11790 | 2017-09-18 |
| 1972021582 | Louren M Gonzales | Nurse Practitioner | 100 Nicolls Rd Hsc Level 4 Room 120, Hsc Level 4 Room 120, Stony Brook, NY 11790 | 2017-09-04 |
| 1043740954 | Asma Khattak | Behavior Technician | 90 Quaker Path, Stony Brook, NY 11790 | 2017-06-13 |
| 1427452846 | Christina Georgia | Registered Nurse | 36 Ivy League Lane, Stony Brook, NY 11790 | 2014-10-14 |
| 1124361654 | Mandeep Kainth | Student in an Organized Health Care Education/Training Program | Department of Medicine Hsc Level 16, 020, Suny Stony Brook, Stony Brook, NY 11790 | 2013-04-03 |
| 1922357144 | Audry M Luciano | Registered Nurse | 2500 Nesconset Hwy Bldg 23, Stony Brook, NY 11790 | 2012-09-04 |
| Find all providers in zip 11790 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210528 | Empire Oral and Maxillofacial Surgery Pllc | Oral & Maxillofacial Surgery | 4 Palisades Dr Ste 250, Albany, NY 12205-1448 | 2019-11-26 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1548632896 | Oral Surgery of Nny Pllc | Oral & Maxillofacial Surgery | 163 Bellew Ave S, Watertown, NY 13601-2390 | 2015-10-27 |
| 1528444601 | Mohsin Wazir | Oral & Maxillofacial Surgery | 355 E 73rd St, Apt 3a, New York, NY 10021-3766 | 2015-07-30 |
| 1982991485 | Steve Yusupov | Oral & Maxillofacial Surgery | 256-c Mason Ave, Staten Island, NY 10305 | 2011-07-05 |
| 1396044640 | Michael Harris Schiffman | Oral & Maxillofacial Surgery | 141 Franklin Pl Ste B, Woodmere, NY 11598-1244 | 2011-03-24 |
| 1962720680 | Oren Richman | Oral & Maxillofacial Surgery | Nassau University Medical Center, Dept of Oral Surgery, 2201 Hempstead Tpke, East Meadow, NY 11554 | 2010-05-05 |
| 1376866186 | Mohammad Okasha | Oral & Maxillofacial Surgery | L50 55th St, Brooklyn, NY 11220 | 2010-03-08 |
| 1891920575 | Jay D Kim | Oral & Maxillofacial Surgery | 119 W 57th St Ste 914, New York, NY 10019-2401 | 2009-05-25 |
| 1225291305 | Amar Ramesh Bhandari | Oral & Maxillofacial Surgery | 112 Plaza Drive, Vestal, NY 13850 | 2008-07-08 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11790 |
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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.