LONG ISLAND ORAL SURGERY ASSOCIATES, PC (NPI# 1306201066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306201066 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND ORAL SURGERY ASSOCIATES, PC |
| Other Organization Name | LONG ISLAND CENTER FOR ORAL AND MAXILLOFACIAL SURGERY |
| Practice Address |
1000 Northern Blvd Suite 180 Great Neck NY 11021-5338 |
| Mailing Address |
959 Brush Hollow Rd Suite 102 Westbury NY 11590-1778 |
| Practice Telephone | 5164874100 |
| Practice Fax Number | 5164874041 |
| Mailing Telephone | 5163335900 |
| Mailing Fax Number | 5163335868 |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |
| Authorized Official Name | MRS. KATHY LARSON (OFFICE MANAGER) |
| Authorized Official Telephone | 5164874100 |
| Is Organization Subpart | Y |
| Parent Organization Name | LONG ISLAND ORAL SURGERY ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
041527 | NY | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
044656 | NY | Dental Providers |
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
057517-1 | NY | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
052978 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| Long Island Center for Oral and Maxillofacial Surgery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871785881 | Long Island Oral Surgery Associates, PC | Oral & Maxillofacial Surgery | 393 Franklin Avenue, Suite 102, Franklin Square, NY 11010-1222 | 2007-08-14 |
| Street Address |
1000 NORTHERN BLVD SUITE 180 |
| City | GREAT NECK |
| State | NY |
| Zip Code | 11021-5338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649846 | Blanche Fung Liu | Specialist | 1000 Northern Blvd, Ste 140, Great Neck, NY 11021-5312 | 2005-06-20 |
| 1073120739 | Bryan Baracaldo | Physical Therapist | 1000 Northern Blvd, Great Neck, NY 11021-5338 | 2020-09-28 |
| 1013540343 | Peter Magri Jr. | Nurse Practitioner | 1000 Northern Blvd, Great Neck, NY 11021-5338 | 2020-02-14 |
| 1669863072 | Great Neck Orthodontics Pllc | Dentist | 1000 Northern Blvd, Suite 300, Great Neck, NY 11021-5338 | 2015-02-08 |
| 1528491149 | Londa Otti Hackett | Acupuncturist | 1000 Northern Blvd, Suite 150, Great Neck, NY 11021-5338 | 2013-08-19 |
| 1851733752 | Maria Berenato | Audiologist | 1000 Northern Blvd, Suite 330, Great Neck, NY 11021-5338 | 2013-07-22 |
| 1154769669 | Integrated Triborough Medical, Pllc | Psychiatry & Neurology | 1000 Northern Blvd, Suite 175, Great Neck, NY 11021-5338 | 2013-06-06 |
| 1780959866 | Ariel Nassim | Internal Medicine | 1000 Northern Blvd, Ste 375, Great Neck, NY 11021-5312 | 2012-03-21 |
| 1801177076 | H. Sasson, M.d., P.C. | Plastic Surgery | 1000 Northern Blvd, Suite 370, Great Neck, NY 11021 | 2011-09-01 |
| 1053615252 | David Godfried Md PC | Orthopaedic Surgery | 1000 Northern Blvd, Suite 250, Great Neck, NY 11021-5312 | 2011-01-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1770131922 | Bond Orthodontics & Dental Care Pllc | Dentist | 12 Bond Street., Suite#c4, Great Neck, NY 11021 | 2019-08-30 |
| 1295393858 | Ctrip.nyc, Inc. | Emergency Response System Companies | 3 Grace Ave, Suite 106, Great Neck, NY 11021 | 2019-05-30 |
| 1366929267 | Vishva Vajra Acupuncture PC | Acupuncturist | 23a Middle Neck Road, Great Neck, NY 11021 | 2018-07-24 |
| 1518457530 | Assured Quality Home Care, Inc. | In Home Supportive Care | 885 Northern Blvd., Greak Neck, NY 11021 | 2018-05-15 |
| 1881183275 | Liat Mindy Brody | Occupational Therapist | 7 Hickory Dr, Great Neck, NY 11021 | 2018-05-01 |
| 1457853707 | Allison Squillace | Social Worker | 7 Bond Suite 1a, Great Neck, NY 11021 | 2018-03-02 |
| 1275042855 | Seolhee Kang | Acupuncturist | 26 Linden Street, Apt 4c, Great Neck, NY 11021 | 2017-09-26 |
| 1346781598 | Sara Dreiblatt | Speech-Language Pathologist | 211-45 46th Road, Queens, NY 11021 | 2017-03-20 |
| 1962853416 | Darron Yelling Do, PC | Surgery | 305 Northen Blvd, 105, Great Neck, NY 11021 | 2016-06-27 |
| Find all providers in zip 11021 | ||||
| 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 |
|---|---|---|---|---|
| 1164797858 | Vishaal Agrawal | Dentist | 23 Bond St Ste 8, Great Neck, NY 11021 | 2012-03-14 |
| 1669560330 | Howard A. Israel | Dentist | 12 Bond St, Great Neck, NY 11021-2005 | 2006-10-10 |
| 1356790166 | Joel Ayon | Dentist | 23 Bond St Ste 8, Great Neck, NY 11021-2025 | 2016-06-13 |
| 1811276132 | John Lee | Dentist | 23 Bond St, Great Neck, NY 11021-2019 | 2011-08-04 |
| 1003145830 | Dr. Howard A. Israel Oral & Maxillofacial Surgery, Pllc | Dentist | 12 Bond St, Great Neck, NY 11021-2005 | 2009-12-07 |
| 1548342868 | Nelson R Assael | Dentist | 1000 Northern Blvd, Suite 180, Great Neck, NY 11021-5312 | 2006-10-19 |
| 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 | GREAT NECK |
| Zip Code | 11021 |
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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.