Active NPI
Babylon Pediatric Dentistry PC
- Pediatric Dentistry
- Babylon, NY
National Provider Identifier
1144194267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- BABYLON PEDIATRIC DENTISTRY PC
- Practice address
- 180 Deer Park Avenue, Suite 1
Babylon, NY 11702 - Phone
- (631) 314-0555
- NPI assigned
- Oct 1, 2025
- Last updated
- Oct 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Wysocki, DMD
- Title
- Pediatric Dentist
- Phone
- (516) 697-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | NU | Primary |
Addresses
Primary practice location
180 Deer Park Avenue, Suite 1
Babylon, NY 11702
Mailing address
180 Deer Park Avenue, Suite 1
Babylon, NY 11702
National Provider Directory
National Provider DirectoryLocations
180 Deer Park Ave
Ste 1
Babylon, NY 11702
Phone (631) 314-0555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Bronx, NY
- NPI 1073053880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759276800000",
"number": "1144194267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 DEER PARK AVENUE, SUITE 1",
"city": "BABYLON",
"state": "NY",
"postal_code": "11702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 DEER PARK AVENUE, SUITE 1",
"city": "BABYLON",
"state": "NY",
"postal_code": "11702",
"telephone_number": "631-314-0555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BABYLON PEDIATRIC DENTISTRY PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-01",
"last_updated": "2025-10-01",
"certification_date": "2025-10-01",
"status": "A",
"authorized_official_last_name": "WYSOCKI",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "PEDIATRIC DENTIST",
"authorized_official_telephone_number": "516-697-2020",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.