Organization Active NPI

Sherif Desouky DDS

  • Dentist
  • Farmingdale, NY
National Provider Identifier
1225400583
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043061 Issued in NY
Legal business name
SHERIF DESOUKY DDS
Practice address
918 Main St Ste 1
Farmingdale, NY 11735-5426
Phone
(516) 420-1177
Fax
(516) 454-7897
NPI assigned
Oct 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Sherif DesoukyNPI 1114915386
Title
Doctor
Phone
(516) 420-1177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 043061 NY Primary

Addresses

Primary practice location

918 Main St Ste 1
Farmingdale, NY 11735-5426

Mailing address

918 Main St Ste 1
Farmingdale, NY 11735-5426
Phone (516) 420-1177

National Provider Directory

National Provider Directory

Locations

918 Main St
Ste 1
Farmingdale, NY 11735
Phone (516) 420-1177

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": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1225400583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 MAIN ST STE 1",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355426",
            "telephone_number": "516-420-1177",
            "fax_number": "516-454-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 MAIN ST STE 1",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117355426",
            "telephone_number": "516-420-1177",
            "fax_number": "516-454-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIF DESOUKY DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "DESOUKY",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-420-1177"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.