Mahadeo Rambarran, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051267-1 Issued in NY

Practice address

268 E Main St
East Islip, NY 11730-2835

Phone

(631) 581-2288

NPI assigned

Aug 2, 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.

• East Main Street Dental PC

  • Dental Clinic/Center
  • East Islip, NY
  • NPI 1962060137
  NPD (past) Authorized official

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555113600000",
    "number": "1124029046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302835",
            "telephone_number": "631-581-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302835",
            "telephone_number": "631-581-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMBARRAN",
        "first_name": "MAHADEO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2019-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051267-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02636271",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoshana Pritzker, RD
• Richard Paul Purslow, LMHC
• Jessica Anne Purver, MA, CCC-SLP
• Courtney Quinn
• Joyce Ann Racanelli, LCSW
• Ramrattie Rambarran, NP
• Edward P Redmond Jr., LCSW
• Darlene Anne Reese, M.A. CCC SLP
• Eileen M Regan, RN
• Danielle Marie Regano

• General Practice Dentistry in East Islip, NY
• Providers in East Islip, 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 Apr 13, 2019; 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.