ENDODONTIC ASSOCIATES OF BAYSIDE, PLLC (NPI# 1861642076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861642076 |
| Entity Type | Organization |
| Organization Name | ENDODONTIC ASSOCIATES OF BAYSIDE, PLLC |
| Practice Address |
58-47 Francis Lewis Blvd Suite 12 Bayside NY 11364-1601 |
| Practice Telephone | 7182244000 |
| Practice Fax Number | 7182241921 |
| Mailing Telephone | 7182244000 |
| Mailing Fax Number | 7182241921 |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |
| Authorized Official Name | MS. NANCY PANAGOPOULOS (OFFICE MANAGER) |
| Authorized Official Telephone | 7182244000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
047274 | NY | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
032322 | NY | Dental Providers |
| Street Address |
58-47 FRANCIS LEWIS BLVD SUITE 12 |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11364-1601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487812608 | Stella M Carollo | Dentist | 58-47 Francis Lewis Blvd, Suite 12, Bayside, NY 11364 | 2008-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013566363 | Emily D'auria | Counselor | Fort Totten Bldg 413a, Bayside, NY 11364 | 2019-09-10 |
| 1780154377 | Cherry Ye | Pharmacist | 5601 215th St, Bayside Hills, NY 11364 | 2018-11-27 |
| 1114420825 | Chuenbong Jonathan Ho | Dentist | 6154 Springfield Blvd, Oakland Gardens, NY 11364 | 2018-03-09 |
| 1700303419 | Jason Jin Li | Pharmacist | 58 32 218st, Bayside, NY 11364 | 2017-08-23 |
| 1265958342 | Rebecca Adar | Occupational Therapist | 78- 26 220th Place, Bayside, NY 11364 | 2017-08-21 |
| 1700320298 | Approaches In Learning for Special Kids Inc | Home Health | 73-11 210th Street, Apt 3n, Oakland Gardens, NY 11364 | 2016-12-19 |
| 1811448665 | Connie Aronson | Specialist | 208-10 Richland Avenue, Hollis Hills, NY 11364 | 2016-10-17 |
| 1154716892 | Dianne James | Physical Therapy Assistant | 224-09b 67th Avenue, Oakland Gardens, NY 11364 | 2015-03-31 |
| 1558779447 | Lai Chu Elizabeth Sin | Occupational Therapist | 22459a Kingsbury Avenue, Oakland Gardens, NY 11364 | 2014-07-24 |
| 1023459849 | William Choi | Pharmacist | 21970 64th Ave #c, Bayside, NY 11364 | 2013-07-09 |
| Find all providers in zip 11364 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487812608 | Stella M Carollo | Dentist | 58-47 Francis Lewis Blvd, Suite 12, Bayside, NY 11364 | 2008-05-23 |
| 1205040490 | Leona Wilkins | Dentist | 21337 39th Ave, Ste 226, Bayside, NY 11361-2071 | 2007-05-09 |
| 1326137555 | Stuart E. Chassen | Dentist | 3443 213th St, Bayside, NY 11361-1554 | 2006-10-12 |
| 1770924813 | Allyson Y Won | Dentist | 4727 Bell Blvd, Bayside, NY 11361-3333 | 2013-07-16 |
| 1891878088 | Richard R. Weiss | Dentist | 3443 213th St, Bayside, NY 11361-1554 | 2006-10-23 |
| 1952482697 | Weiss&chassen Dds, PC | Dentist | 3443 213th St, Bayside, NY 11361-1554 | 2006-10-18 |
| 1235126723 | Elaine G Rogers | Dentist | 5847 Francis Lewis Blvd, Suite 12, Bayside, NY 11364 | 2005-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
| 1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
| 1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
| 1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
| 1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
| 1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
| 1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
| 1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
| 1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| Find all providers with the same taxonomy | ||||
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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.