Sherif Desouky

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043061 Issued in NY

Practice address

918 Main St
Farmingdale, NY 11735-5426

Phone

(516) 420-1177

Fax

(516) 454-7897

NPI assigned

Oct 11, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sherif Desouky DDS

  • Dentist
  • Farmingdale, NY
  • NPI 1225400583
  NPD (past) Authorized official

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1114915386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355426",
            "telephone_number": "516-420-1177",
            "fax_number": "516-454-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 MAIN ST",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355426",
            "telephone_number": "516-420-1177",
            "fax_number": "516-454-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUKY",
        "first_name": "SHERIF",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01244637",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Marie Deleo, NP
• Mary T Denning, LCSW
• Department of Education
• Theresa Irene Desantis, PH.D.
• Megan Elizabeth Desimone, OTR/L
• Sindy Destin
• Destino Medical Diagnostics PC
• Erika Di Gioia, OTR/L
• Robert F Dibaro, RPA-C
• Megan Dibenedetto

• General Practice Dentistry in Farmingdale, NY
• Providers in Farmingdale, 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 Feb 28, 2014; 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.