East End Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

EAST END ORAL SURGERY

Practice address

240 W Montauk Hwy
Hampton Bays, NY 11946-3510

Phone

(631) 728-1300

Fax

(631) 728-5165

NPI assigned

Sep 15, 2010

Last updated

Sep 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Andrew Nelson, DDSNPI 1629166590

Title

President

Phone

(631) 728-1300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Andrew Nelson, OMFS

  • Oral and Maxillofacial Surgery (Dentist)
  • Hampton Bays, NY
  • NPI 1629166590
  Authorized official Same address or phone

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284508800000",
    "number": "1013225887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463510",
            "telephone_number": "631-728-1300",
            "fax_number": "631-728-5165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W MONTAUK HWY",
            "city": "HAMPTON BAYS",
            "state": "NY",
            "postal_code": "119463510",
            "telephone_number": "631-728-1300",
            "fax_number": "631-728-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST END ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-15",
        "last_updated": "2010-09-15",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-728-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerard A. Dolan, LCSW-R
• Neil Patrick Donohue, D.C.
• Christine Dubowski
• Daniel Duffy, PHARMD, RPH
• East End Nurse Prac Adult HLTH
• East End Womens Health Care
• East End Womens Health Care P.C.
• Kennworth Eaton II, P.A.
• Ecb SLP Services PC
• Joelle Efthimiou, PHD

• Oral and Maxillofacial Surgery (Dentist) in Hampton Bays, NY
• Providers in Hampton Bays, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.