NPIMap

Organization Active NPI

North Shore Prosthodontics of Woodbury

  • Dentist
  • Woodbury, NY
National Provider Identifier
1003903253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
041230 Issued in NY
Legal business name
NORTH SHORE PROSTHODONTICS OF WOODBURY
Practice address
800 Woodbury Rd
Ste H
Woodbury, NY 11797-2503
Phone
(516) 364-2333
Fax
(516) 364-4765
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ted Korin, DMDNPI 1326254418
Title
Partner
Phone
(516) 364-2333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 041230 NY Primary

Addresses

Primary practice location

800 Woodbury Rd
Ste H
Woodbury, NY 11797-2503

Mailing address

800 Woodbury Rd
Ste H
Woodbury, NY 11797-2503
Phone (516) 364-2333

National Provider Directory

National Provider Directory

Locations

800 Woodbury Rd
Ste H
Woodbury, NY 11797
Phone (516) 364-2333

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003903253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WOODBURY RD",
            "address_2": "STE H",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972503",
            "telephone_number": "516-364-2333",
            "fax_number": "516-364-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WOODBURY RD",
            "address_2": "STE H",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972503",
            "telephone_number": "516-364-2333",
            "fax_number": "516-364-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE PROSTHODONTICS OF WOODBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KORIN",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-364-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "041230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.