Individual provider Active NPI

Sarah Margarita Chicosky, DDS

  • Pediatric Dentistry
  • Huntington Station, NY
National Provider Identifier
1134510480
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
059381 Issued in NY
Practice address
562 E Jericho Tpke
Huntington Station, NY 11746-7314
Phone
(631) 760-7606
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 059381 NY Primary

Addresses

Primary practice location

562 E Jericho Tpke
Huntington Station, NY 11746-7314

Mailing address

2 Otego PL
Greenlawn, NY 11740-3008
Phone (631) 897-6367

Other practice location 1

10460 Queens Blvd
Forest Hills, NY 11375-7318
Phone (718) 459-7900

Other practice location 2

2 Otego Pl
Greenlawn, NY 11740-3008
Phone (631) 897-6367

Other practice location 3

5036 Jericho Tpke
Commack, NY 11725-2812
Phone (631) 486-6220

Other names 1

  • Sarah Margarita Ordonez Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
059381NYMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1134510480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OTEGO PL",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117403008",
            "telephone_number": "631-897-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 E JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467314",
            "telephone_number": "631-760-7606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10460 Queens Blvd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113757318",
            "country_code": "US",
            "telephone_number": "718-459-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Otego Pl",
            "address_purpose": "LOCATION",
            "city": "Greenlawn",
            "state": "NY",
            "postal_code": "117403008",
            "country_code": "US",
            "telephone_number": "631-897-6367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5036 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117252812",
            "country_code": "US",
            "telephone_number": "631-486-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHICOSKY",
        "first_name": "SARAH",
        "middle_name": "MARGARITA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "059381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ORDONEZ",
            "middle_name": "MARGARITA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.