Individual provider Active NPI

Sylwia Rostkowski, D.M.D.

  • Periodontics
  • Manhasset, NY
National Provider Identifier
1063767267
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
50-056063 Issued in NY
Practice address
86 Pickwick Rd
Manhasset, NY 11030-3322
Phone
(631) 374-4335
NPI assigned
Jul 13, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 50-056063 NY Primary

Addresses

Primary practice location

86 Pickwick Rd
Manhasset, NY 11030-3322

Mailing address

86 Pickwick Rd
Manhasset, NY 11030-3322
Phone (631) 374-4335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151015002157 NY Order and Referring Only - DentistPractitioner - Dentist 9032428966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50-056063NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1063767267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 PICKWICK RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303322",
            "telephone_number": "631-374-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 PICKWICK RD",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303322",
            "telephone_number": "631-374-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSTKOWSKI",
        "first_name": "SYLWIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "50-056063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

Verify at the official NPI Registry.