Samina Haque DMD PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SAMINA HAQUE DMD PLLC

Practice address

25012 Hillside Ave Ste a
Bellerose, NY 11426-2139

Phone

(718) 343-0900

Fax

(718) 343-0901

NPI assigned

Apr 15, 2020

Organization subpart

No

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

Authorized official

Name

Samina Haque, DMDNPI 1780891192

Title

Dentist

Phone

(718) 343-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hillside Smile Dental Care Doing business as

Locations

Practitioners 1

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

• Samina Haque, D.M.D

  • General Practice Dentistry
  • Jamaica, NY
  • NPI 1780891192
  NPD (past) Authorized official

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1033738414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 INGRAHAM LN",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404275",
            "telephone_number": "646-884-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25012 HILLSIDE AVE STE A",
            "city": "BELLEROSE",
            "state": "NY",
            "postal_code": "114262139",
            "telephone_number": "718-343-0900",
            "fax_number": "718-343-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMINA HAQUE DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "HAQUE",
        "authorized_official_first_name": "SAMINA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-343-0900",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02709066",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Smile Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maylayal Salameh
• Usman Saleem, MD, MSPT
• Marilyn Sam, CCC-SLP
• Rosamma Sam, MS ED
• Sambal Psychotherapy LCSW PLLC
• Diana Santos Santana
• Fred Louis Savino, PHD
• Cristina Scagluiso
• Carole LM Schuster, DC
• Joyce Scott

• Dental Clinic/Center in Bellerose, NY
• Providers in Bellerose, NY by specialty
• Dental Clinic/Center in New York

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