SIOMS FOREST HILLS MANAGEMENT LLC (NPI# 1124659479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124659479 |
| Entity Type | Organization |
| Organization Name | SIOMS FOREST HILLS MANAGEMENT LLC |
| Practice Address |
7009 Austin St Ste 201 Forest Hills NY 11375-1012 |
| Practice Telephone | 7182612790 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Authorized Official Name | STEVE YUSUPOV (MANAGING PARTNER) |
| Authorized Official Telephone | 7182612790 |
| Authorized Official Credential | MD, DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | SIOMS FOREST HILLS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03766474 | 05 |
| Other Name | Type Code |
|---|---|
| SIOMS Forest Hills | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528699873 | Sioms Forest Hills Management LLC | Oral & Maxillofacial Surgery | 167 Froehlich Farm Blvd, Woodbury, NY 11797-2906 | 2020-01-27 |
| Street Address |
7009 AUSTIN ST STE 201 |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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 |
|---|---|---|---|---|
| 1992205801 | Seth T Farren Dds Oral and Maxillofacial Surgery Pllc | Clinic/Center | 100 Great Oaks Blvd Ste 112, Albany, NY 12203-7924 | 2018-02-16 |
| 1790224756 | Avichai Stern Dds Pllc | Clinic/Center | 161 Havemeyer St, Suite 2, Brooklyn, NY 11211-5534 | 2017-02-22 |
| 1699055285 | Advanced Implant and Oral Surgery P.C. | Clinic/Center | 17 Walt Whitman Rd Ste 3, Huntington Station, NY 11746-3610 | 2011-08-26 |
| 1962622332 | Greg J Panossian Dds Pllc | Clinic/Center | 5240 Merrick Rd Ste 1, Massapequa, NY 11758-6207 | 2007-04-26 |
| 1093807166 | Todd J Berman Dmd, PC | Clinic/Center | 307 E 49th St, New York, NY 10017-7306 | 2006-09-28 |
| 1740781665 | Giovanni Boiano Dds PC | Clinic/Center | 300 Main St, Eastchester, NY 10709-2916 | 2018-02-26 |
| 1386172104 | Lynn Pierri Dds Ms Pllc | Clinic/Center | 400 Townline Rd Ste 135, Hauppauge, NY 11788-2835 | 2017-05-24 |
| 1073059283 | Yandresco Quintana Dds PC | Clinic/Center | 651 W 180th St, Suite 1, New York, NY 10033-4802 | 2017-01-11 |
| 1881146785 | Dd Pitcher LLC | Clinic/Center | 30 Office Park Way, Pittsford, NY 14534-1734 | 2016-10-27 |
| 1366803215 | New York University | Clinic/Center | 345 E 24th St, New York, NY 10010-4020 | 2016-03-18 |
| Find all providers with the same taxonomy | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
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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.