Active NPI
Luz House, DDS
- General Practice Dentistry
- Hempstead, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 059216
- Practice address
- 619 Fulton Ave
Hempstead, NY 11550-4553 - Phone
- (516) 572-1300
- Fax
- (516) 566-3954
- NPI assigned
- Sep 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 63924 | CA | |
| General Practice Dentistry | 1223G0001X | 059216 | NY | Primary |
Addresses
Primary practice location
619 Fulton Ave
Hempstead, NY 11550-4553
Mailing address
8110 135TH St
Apt 709
Briarwood, NY 11435-1050
Phone (917) 684-1113
Other practice location 1
1080 Sunrise Hwy
Amityville, NY 11701-2526
Phone (631) 716-9026
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63924 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Health Care Long Island | Multi-Specialty | Current | Accepting new patients |
| Damian Family Care Centers, Inc. | Multi-Specialty | Current | Accepting new patients |
| Damian Family Care Centers, Inc. | Current | Accepting new patients | |
| Ryan-Chelsea Clinton Community Health Center | Multi-Specialty | Current | Accepting new patients |
| Harmony Health Care Long Island | Current | Accepting new patients | |
| Harmony Health Care Long Island | Current | Accepting new patients |
Locations
135 Main St
Hempstead, NY 11550
Phone (516) 292-3111
619 Fulton Ave
Hempstead, NY 11550
Phone (516) 572-1300
8956 162nd St
#3
Jamaica, NY 11432
Phone (718) 297-8000
13750 Jamaica Ave
Jamaica, NY 11435
Phone (718) 298-5100
110 W 97th St
New York, NY 10025
Phone (212) 316-7906
645 10th Ave
New York, NY 10036
Phone (212) 265-4500
682 Union Ave
Westbury, NY 11590
Phone (516) 571-9500
Organizations & group practices 6
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.
-
dba Project Samaritan Health Services
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1508955592
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Elmont, NY
- NPI 1336669670
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1215978960
Multi-Specialty
-
dba Project Samaritan Health Services
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1487923595
-
- Federally Qualified Health Center (FQHC)
- North Baldwin, NY
- NPI 1205704319
-
- Federally Qualified Health Center (FQHC)
- Freeport, NY
- NPI 1881028108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1104226638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 135TH ST",
"address_2": "APT 709",
"city": "BRIARWOOD",
"state": "NY",
"postal_code": "114351050",
"telephone_number": "917-684-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "619 FULTON AVE",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115504553",
"telephone_number": "516-572-1300",
"fax_number": "516-566-3954"
}
],
"practiceLocations": [
{
"address_1": "1080 Sunrise Hwy",
"address_purpose": "LOCATION",
"city": "Amityville",
"state": "NY",
"postal_code": "117012526",
"country_code": "US",
"telephone_number": "631-716-9026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSE",
"first_name": "LUZ",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "63924",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059216",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.