Demetrius Filoukatjis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

055517 Issued in NY

Practice address

1 Hollow LN Ste 108
New Hyde Park, NY 11042

Phone

(516) 869-3400

Fax

(516) 869-3403

NPI assigned

Apr 25, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Demetrius Filoukatjis, DMD, PLLC

  • General Practice Dentistry
  • New Hyde Park, NY
  • NPI 1699147447
  NPD (past) Authorized official
• Lakeville Dental Group. P.C.

  • General Practice Dentistry
  • New Hyde Park, NY
  • NPI 1568608248
  NPD (past)

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

{
    "created_epoch": "1272153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1083931414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONY BROOK UNIVERSITY HOSPITAL",
            "address_2": "MEDICAL STAFF OFFICE T9",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117947097",
            "telephone_number": "631-444-2754",
            "fax_number": "631-444-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOLLOW LN STE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-869-3400",
            "fax_number": "516-869-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILOUKATJIS",
        "first_name": "DEMETRIUS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-25",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Alan Fierstein, MD
• Edwige Figaro, P.A.
• Carlos F Figueroa, MD
• Linda E Filiberto, NP
• Matthew Filonuk, PA-C
• Vanessa Finazzo
• Rosemary Elizabeth Fine, NP
• Nika Finelt, MD
• Alex Fiola, DPM
• John J Fiordalisi, MD

• General Practice Dentistry in New Hyde Park, NY
• Providers in New Hyde Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.