SOUTH ISLAND PERIODONTICS AND IMPLANTOLOGY PLLC (NPI# 1679697429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679697429 |
| Entity Type | Organization |
| Organization Name | SOUTH ISLAND PERIODONTICS AND IMPLANTOLOGY PLLC |
| Practice Address |
657 Central Avenue Cedarhurst NY 11516 |
| Practice Telephone | 5162959566 |
| Practice Fax Number | 5167067061 |
| Mailing Telephone | 5162959566 |
| Mailing Fax Number | 5167067061 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | DR. MARKUS L WEITZ (DENTIST) |
| Authorized Official Telephone | 5162959566 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
041914 | NY | Dental Providers |
| Street Address |
657 CENTRAL AVENUE |
| City | CEDARHURST |
| State | NY |
| Zip Code | 11516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780655993 | Karine Cook | Physician Assistant | 657 Central Avenue, Cedarhurst, NY 11516 | 2006-01-27 |
| 1891766523 | South Shore Gastroenterology PC | Internal Medicine | 657 Central Avenue, Cedarhurst, NY 11516 | 2006-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1336648252 | Daniel M Horowitz | Physical Therapist | 673 Park Lane, Cedarhurst, NY 11516 | 2018-02-06 |
| 1558757203 | Fraidy Horwitz | Dietitian, Registered | 527 Central Place, Cedarhurst, NY 11516 | 2015-04-09 |
| 1760800668 | Spruce Rx, Inc. | Pharmacy | 127a Spruce Street, Cedarhurst, NY 11516 | 2014-03-29 |
| 1578907358 | Rebecca Twerski Ganz | Psychologist | 528 Willow Ave, Cedarhurst, NY 11516 | 2013-04-23 |
| 1235472770 | Karim A. Badawy | Podiatrist | 551 Central Ave Suite 21a, Cedarhusrt, NY 11516 | 2013-04-03 |
| 1043592959 | Nicole T Hamburger | Speech-Language Pathologist | 611 Carlylye St, Cedarhurst, NY 11516 | 2011-09-16 |
| 1407153489 | Wendy Joy Grand | Social Worker | 2 Reilly Rd, Lawrence High School, Cedarhurst, NY 11516 | 2011-02-28 |
| 1518269976 | Susan Zora Gottlieb | Speech-Language Pathologist | 445 Central Ave, Suite 111, Cedarhurst, NY 11516 | 2010-11-17 |
| Find all providers in zip 11516 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730375213 | Markus L Weitz | Dentist | 657 Central Ave, Cedarhurst, NY 11516-2320 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
| 1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
| 1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
| City | CEDARHURST |
| Zip Code | 11516 |
Please comment or provide details below to improve the information on SOUTH ISLAND PERIODONTICS AND IMPLANTOLOGY PLLC.
| 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.