Oral Pathology Laboratory, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

2473 Issued in NY

Legal business name

ORAL PATHOLOGY LABORATORY, INC.

Practice address

5631 141St St
Flushing, NY 11355-5042

Phone

(718) 670-1520

Fax

(718) 445-4147

NPI assigned

Dec 19, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul Dennis Freedman, D.D.S.NPI 1255427746

Title

Director

Phone

(718) 670-1520

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul Dennis Freedman, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Flushing, NY
  • NPI 1255427746
  NPD Authorized official
• Ruwadzano Chikosi, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Flushing, NY
  • NPI 1295974129
  NPD (past)
• Stanley M Kerpel, D.D.S.

  • Oral and Maxillofacial Pathology Dentistry
  • Flushing, NY
  • NPI 1942397120
  NPD (past)
• Rebecca Luo

  • Student in an Organized Health Care Education/Training Program
  • Flushing, NY
  • NPI 1457106544
  NPD (past)
• Renee Faith Reich, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Flushing, NY
  • NPI 1467550368
  NPD (past)
• Rachelle Amanda Wolk, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • New York, NY
  • NPI 1659915791
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205999067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 141ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555042",
            "telephone_number": "718-670-1520",
            "fax_number": "718-445-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 141ST ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113555042",
            "telephone_number": "718-670-1520",
            "fax_number": "718-445-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL PATHOLOGY LABORATORY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEDMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-670-1520",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "2473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00395964",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optical 38 LLC (hp optical)
• Optimal Physical Medicine and Rehabilitation of New York City PC.
• Optimum Care Supplies LLC
• Opus Radiology, PC
• Oved Oquendo, L, RT
• Aliza Orbach
• Lorena Orellana, OTR/L
• Tanya E Orellana, M.D.
• David Stuart Orenstein, OD
• Oriental Health Supplies Inc

• Clinical Medical Laboratory in Flushing, NY
• Providers in Flushing, NY by specialty
• Clinical Medical Laboratory in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.