Shaifali Rametra, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

054475 Issued in NY

Practice address

1679 New York Ave
Huntington Station, NY 11746-2406

Phone

(631) 771-1577

Fax

(631) 771-1570

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Medicare enrollment (NPD)

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.

• Huntington Family Dentistry PC

  • General Practice Dentistry
  • Huntington Station, NY
  • NPI 1245679224
  Medicare reassignment NPD Authorized official
• Conceptual Dentistry

  • Dentist
  • Huntington, NY
  • NPI 1922305382
  NPD (past) Authorized official
• Esthetic Smile Dentistry PLLC

  • General Practice Dentistry
  • East Northport, NY
  • NPI 1073831756
  NPD (past) Authorized official
• Molar Dentistry PLLC

  • General Practice Dentistry
  • Westbury, NY
  • NPI 1275057614
  NPD (past) Authorized official

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1144451899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 CUBA HILL RD",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434805",
            "telephone_number": "631-889-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462406",
            "telephone_number": "631-771-1577",
            "fax_number": "631-771-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMETRA",
        "first_name": "SHAIFALI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010061",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03157260",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mtmdds",
            "affiliation": "N",
            "endpointDescription": "internal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1679 New York Ave",
            "city": "Huntington Station",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117462406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ricardo Quintanilla, PA-C
• Waqaas Ahmad Quraishi, MD
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• Sean Jason Rahilly, LMSW
• Jarret Ralton
• Irma Ramsden, ANP
• Lisa J Rappa
• Mikaila Ann Rattazzi
• Rachita Sethi Reddy, MD, MPH
• Reflections Therapy LCSW PC

• General Practice Dentistry in Huntington Station, NY
• Providers in Huntington Station, 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 Jun 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.