Sara Jane Skurnick, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

040614-1 Issued in NY

Practice address

195 Bridgetown Street
Staten Island Pediatric Dental
Staten Island, NY 10314-6006

Phone

(718) 761-7316

NPI assigned

Oct 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

• Staten Island Pediatric Dentistry

  • Pediatric Dentistry
  • Staten Island, NY
  • NPI 1053509687
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184712853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 86 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-372-0009",
            "fax_number": "718-372-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 BRIDGETOWN STREET",
            "address_2": "STATEN ISLAND PEDIATRIC DENTAL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103146006",
            "telephone_number": "718-761-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKURNICK",
        "first_name": "SARA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "22D10577400",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "040614-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Skovpenya, R-PAC
• Richard Skow, R.N.
• Jack Skowron, MD
• Wojciech Skrzypiec, MD
• Liudmila A Skudnov, DO
• Sky Light Center Inc.
• Skycare RX Inc (SkyCare Rx Pharmacy)
• Skycare RX Pharmacy 4, Inc. (SkyCare Rx Pharmacy)
• Skycare RX Pharmacy III, Inc. (SkyCare Rx Pharmacy)
• Skycare RX Pharmacy, Inc.

• Orthodontics and Dentofacial Orthopedics Dentistry in Staten Island, NY
• Providers in Staten Island, 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 Jul 8, 2007; 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.