Keri A Greene-Maskell, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

047323-1 Issued in NY

Practice address

380 N Broadway
Suite L1
Jericho, NY 11753-2115

Phone

(516) 433-1422

Fax

(516) 433-7007

NPI assigned

Feb 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Keri Alyson Greene-Maskell Professional name

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.

• Essner & Kosinski, DDS, PLLC D/B/a the Smile Station

  • Pediatric Dentistry
  • Jericho, NY
  • NPI 1033393517
  NPD (past)

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1164691622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 N BROADWAY",
            "address_2": "SUITE L1",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532115",
            "telephone_number": "516-433-1422",
            "fax_number": "516-433-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 N BROADWAY",
            "address_2": "SUITE L1",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532115",
            "telephone_number": "516-433-1422",
            "fax_number": "516-433-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Broadway",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112064403",
            "country_code": "US",
            "telephone_number": "718-387-4300",
            "fax_number": "718-387-4320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENE-MASKELL",
        "first_name": "KERI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "047323-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "GREENE-MASKELL",
            "middle_name": "ALYSON",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ekaterini Grafas
• Megan Graff
• Amanda L Green
• Howard Samuel Green, M.D.
• Danielle Paige Greenberg, LCSW
• Alexandra Nicole Greenwald
• Greenwich Physical Therapy
• Taryn Grossfield
• Joan Gulamerian, RN
• Bonnie Gutwirth, PSY.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Jericho, NY
• Providers in Jericho, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.