Organization Active NPI

Massapequa Oral & Maxillofacial Associates LLP

  • Oral and Maxillofacial Surgery (Dentist)
  • Massapequa Park, NY
National Provider Identifier
1174637284
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
MASSAPEQUA ORAL & MAXILLOFACIAL ASSOCIATES LLP
Practice address
4770 Sunrise Hwy
Suite 201
Massapequa Park, NY 11762-2911
Phone
(516) 798-4143
Fax
(516) 798-4296
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Authorized official

Name
Dr. Peter Louis Scharfenberger, DDS
Title
President
Phone
(516) 798-4143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

4770 Sunrise Hwy
Suite 201
Massapequa Park, NY 11762-2911

Mailing address

4770 Sunrise Hwy
Suite 201
Massapequa Park, NY 11762-2911
Phone (516) 798-4143

National Provider Directory

National Provider Directory

Locations

4180 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 541-7500

4770 Sunrise Hwy
Ste 201
Massapequa Pk, NY 11762
Phone (516) 798-4143

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237939200000",
    "number": "1174637284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 SUNRISE HWY",
            "address_2": "SUITE 201",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622911",
            "telephone_number": "516-798-4143",
            "fax_number": "516-798-4296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 SUNRISE HWY",
            "address_2": "SUITE 201",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622911",
            "telephone_number": "516-798-4143",
            "fax_number": "516-798-4296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAPEQUA ORAL & MAXILLOFACIAL ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-03-25",
        "status": "A",
        "authorized_official_last_name": "SCHARFENBERGER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-798-4143",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2009; 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.