Long Island Oral & Maxillofacial Surgery, PC
A Medicare group practice based in Mineola, NY: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 2668362674), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2668362674
- Also listed as
- Long Island Oral and Maxillofacial Surgery, PC
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- NY
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040316000107 | NY | Part B Supplier - Clinic/Group Practice | 1912080417 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Long Island Oral & Maxillofacial Surgery, PC
- Oral and Maxillofacial Surgery (Dentist)
- Mineola, NY
- NPI 1912080417
-
Long Island Oral & Maxillofacial Surgery, PC
- Oral and Maxillofacial Surgery (Dentist)
- Port Washington, NY
- NPI 1710060223
Practice locations
- Port Washington, NY1
- Mineola, NY1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (2).
-
James Choi, MD, DMD
- Oral & Maxillofacial Surgery (D.M.D.)
- New York, NY
- NPI 1043638158
-
Scott Addison Fauvell, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Mineola, NY
- NPI 1265641732
-
Alex V. Meneshian, D.D.S., M.D.
- Oral and Maxillofacial Surgery (Dentist)
- Mineola, NY
- NPI 1396706412
-
Luke C Soletic, DDS, MD
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
- NPI 1164879581
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.