LONG ISLAND ORTHODONTIC ASSOCIATES, P.C. (NPI# 1417087156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417087156 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND ORTHODONTIC ASSOCIATES, P.C. |
| Other Organization Name | MARY BUATTI ROMEO DMD PC |
| Practice Address |
100 Clark Ave Massapequa NY 11758-4950 |
| Practice Telephone | 5165419396 |
| Practice Fax Number | 5165419510 |
| Mailing Telephone | 5165419396 |
| Mailing Fax Number | 5165419510 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | MARY BUATTI ROMEO (PRESIDENT) |
| Authorized Official Telephone | 5165419396 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
037943 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| Mary Buatti Romeo DMD PC | Former Legal Business Name - Organization |
| Street Address |
100 CLARK AVE |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-4950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770613408 | Mary Buatti Romeo | Dentist | 100 Clark Ave, Massapequa, NY 11758-4950 | 2007-03-06 |
| 1558906461 | Asnis Dental Pllc | Dentist | 100 Clark Ave, Massapequa, NY 11758-4950 | 2019-11-14 |
| 1205188547 | Scott Mateer | Dentist | 100 Clark Ave, Massapequa, NY 11758-4950 | 2012-10-10 |
| 1922244433 | William Joseph Rubino Jr. | Dentist | 100 Clark Ave, Massapequa, NY 11758-4950 | 2009-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952646812 | Karen Leavy | Dentist | 100 Clark Avenue, Massapequa, NY 11758 | 2012-12-04 |
| 1912225681 | Jamie Darron Royal | Dentist | 1023 N Broadway, Massapequa, NY 11758-2118 | 2010-05-05 |
| 1770613408 | Mary Buatti Romeo | Dentist | 100 Clark Ave, Massapequa, NY 11758-4950 | 2007-03-06 |
| 1558906461 | Asnis Dental Pllc | Dentist | 100 Clark Ave, Massapequa, NY 11758-4950 | 2019-11-14 |
| 1992201271 | Long Island Dental Smiles Pllc | Dentist | 100 Clark Avenue, Massapequa, NY 11758 | 2018-04-04 |
| 1376064378 | Michael John Capogna | Dentist | 1023 N Broadway, Massapequa, NY 11758-2118 | 2017-06-29 |
| 1386021129 | Nassau County Orthodontics | Dentist | 380 Sunrise Mall, Massapequa, NY 11758-4325 | 2015-04-30 |
| 1043640709 | Christopher Paladino | Dentist | 535 Broadway, Massapequa, NY 11758-5006 | 2013-11-17 |
| 1205188547 | Scott Mateer | Dentist | 100 Clark Ave, Massapequa, NY 11758-4950 | 2012-10-10 |
| 1922244433 | William Joseph Rubino Jr. | Dentist | 100 Clark Ave, Massapequa, NY 11758-4950 | 2009-01-05 |
| Find all providers in MASSAPEQUA | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
Please comment or provide details below to improve the information on LONG ISLAND ORTHODONTIC ASSOCIATES, P.C..
| 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.