Individual provider Active NPI

Richard J Abuhoff, DMD

  • General Practice Dentistry
  • Plainview, NY
National Provider Identifier
1104908631
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037894 Issued in NY
Practice address
2 Chestnut Drive
Plainview, NY 11803-1903
Phone
(516) 938-0656
Fax
(516) 822-4689
NPI assigned
Oct 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 037894 NY Primary

Addresses

Primary practice location

2 Chestnut Drive
Plainview, NY 11803-1903

Mailing address

2 Chestnut Dr
Plainview, NY 11803-1903
Phone (516) 938-0656

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
I20150603001882 NY Order and Referring Only - DentistPractitioner - Dentist 1759602618

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104908631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHESTNUT DR",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031903",
            "telephone_number": "516-938-0656",
            "fax_number": "516-822-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHESTNUT DRIVE",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031903",
            "telephone_number": "516-938-0656",
            "fax_number": "516-822-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUHOFF",
        "first_name": "RICHARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.