LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC (NPI# 1710060223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710060223 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC |
| Practice Address |
14 Vanderventer Ave Ste 260 Port Washington NY 11050-3737 |
| Practice Telephone | 5169448330 |
| Practice Fax Number | 5168831598 |
| Mailing Telephone | 5169448330 |
| Mailing Fax Number | 5168831598 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2008-01-11 |
| Authorized Official Name | MRS. DEBRA MCQUILLAN (MANAGER) |
| Authorized Official Telephone | 5162949696 |
| Is Organization Subpart | Y |
| Parent Organization Name | LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912080417 | Long Island Oral & Maxillofacial Surgery, PC | Dentist | 134 Mineola Blvd., 3 Floor, Mineola, NY 11501 | 2006-10-20 |
| Street Address |
14 VANDERVENTER AVE STE 260 |
| City | PORT WASHINGTON |
| State | NY |
| Zip Code | 11050-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073558631 | Ashraf M Estafan | Dentist | 14 Vanderventer Ave, Suite 215, Port Washington, NY 11050-3759 | 2006-06-18 |
| 1306071964 | Anita E Shashoua | Dentist | 14 Vanderventer Ave, Suite 212, Port Washington, NY 11050-3737 | 2009-05-26 |
| 1417181017 | Robert Steven Popkin | Dentist | 14 Vanderventer Ave, Port Washington, NY 11050-3737 | 2009-05-11 |
| 1790924942 | Robin Perlberg | Acupuncturist | 14 Vanderventer Ave, Suite 145, Port Washington, NY 11050-3737 | 2009-02-11 |
| 1104096908 | Rhonda Mae Yoss-kaplan | Psychologist | 14 Vanderventer Ave, Suite 103, Port Washington, NY 11050-3737 | 2008-03-07 |
| 1265629778 | Daniela Spector | Dentist | 14 Vanderventer Ave, Suite 120, Port Washington, NY 11050-3737 | 2007-09-28 |
| 1508063264 | Paul Dominic Verdi | Dentist | 14 Vanderventer Ave, Suite 140, Port Washington, NY 11050-3737 | 2007-06-27 |
| 1467675819 | Susan Vivian Jacob | Psychologist | 14 Vanderventer Ave, Port Washington, NY 11050-3737 | 2007-04-11 |
| 1003942020 | Joseph T Shen | Internal Medicine | 14 Vanderventer Ave, Suite 130-138, Port Washington, NY 11050-3737 | 2007-02-26 |
| 1063580967 | Bill Stephen Wald | Dentist | 14 Vanderventer Ave, Ste 120, Port Washington, NY 11050 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144689696 | One-care Physical Therapy Pllc | Physical Therapist | 45 B Dunwood Rd, Port Washington, NY 11050 | 2016-02-12 |
| 1720472525 | Dominique Neebe | Specialist | 141 Middleneck Road, Sands Point, NY 11050 | 2015-03-19 |
| 1902237316 | Cheryl Goldfarb | Speech-Language Pathologist | 11 Leeds Drive, Port Washington, NY 11050 | 2013-12-11 |
| 1467722454 | Robert Cerpa | Psychologist | 6 Morewood Oaks, Manorhaven Elementary School, Port Washington, NY 11050 | 2012-01-06 |
| 1043515828 | Tak Wai Chau | Social Worker | 36 Rockwood Ave, Port Washingto, NY 11050 | 2011-01-25 |
| 1073823167 | Donna Lee Kosina | Occupational Therapist | 10 Maple Dr., Port Washington, NY 11050 | 2010-10-07 |
| 1962710467 | Alicia Marie Leporati | Counselor | 9 Graywood Rd, Port Washington, NY 11050 | 2010-09-17 |
| 1164747630 | Thomas Young Suh | Pharmacist | 100 Habor View Drive #630, Port Washington, NY 11050 | 2010-03-29 |
| 1376778142 | Ellen J Satloff | Social Worker | 14 Terrace Drive, Port Washington, NY 11050 | 2009-05-22 |
| 1376707547 | Port Washington Dental Associates | Clinic/Center | 18 Haven Ave, Port Washington, NY 11050 | 2008-07-16 |
| Find all providers in zip 11050 | ||||
| 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 |
|---|---|---|---|---|
| 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 | PORT WASHINGTON |
| Zip Code | 11050 |
Please comment or provide details below to improve the information on LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC.
| 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.