Stephanie Marie Sfiroudis, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

061136 Issued in NY

Practice address

99 Hillside Ave Ste a
Williston Park, NY 11596-2306

Phone

(516) 747-1145

NPI assigned

Aug 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1144830100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164-03 A 32 AVENUE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11358",
            "telephone_number": "516-747-1145",
            "fax_number": "516-747-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HILLSIDE AVE STE A",
            "city": "WILLISTON PARK",
            "state": "NY",
            "postal_code": "115962306",
            "telephone_number": "516-747-1145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Hempstead Tpke Ste 409",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541702",
            "country_code": "US",
            "telephone_number": "718-938-4754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SFIROUDIS",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "061136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Schellig
• Joseph Schiera, MS, RD, CDN
• Sheri Elena Scott Calleo, LMHC, CASAC
• Nicolette Marie Scrozzo, MASTERS
• Neal Seltzer, D.M.D.
• Joel Bendet Sheinbaum, D.D.S.
• Amanda Sherwood
• Nalini K Sheth, B.S.
• Andrew Sidi, MFT-LP
• Jesse Noah Simon, OTR/L

• All providers in Williston Park, NY
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.