Vasiliki Batalias – Periodontics in Wantagh, NY

Key facts

NPI: 1235358474
Entity type: Individual (NPI type 1)
Primary specialty: Periodontics 1223P0300X
License: 047337 (NY)
Practice address: 3366 Park Ave
Wantagh, NY 11793-3718
Phone: (516) 826-4949
Fax: (516) 826-2707
NPI assigned: Apr 25, 2007
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

South Shore Long Island Periodontics and Implantology Periodontics · Wantagh, NY · NPI 1417755596

NPD (past) PERIODONTICS

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150408001544	NY	Order and Referring Only - Dentist Practitioner - Dentist	4981922655

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
047337	NY	MD	Periodontist

Practice roles

Organization	Specialty	Status	New patients
South Shore Long Island Periodontics and Implantology	Periodontics	Past since Mar 11, 2025	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Periodontics	1223P0300X	047337	NY	Yes

Addresses

Primary practice location

3366 Park Ave
Wantagh, NY 11793-3718

Mailing address

3366 Park Ave
Wantagh, NY 11793-3718
Phone (516) 826-4949

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235358474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933718",
            "telephone_number": "516-826-4949",
            "fax_number": "516-826-2707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933718",
            "telephone_number": "516-826-4949",
            "fax_number": "516-826-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATALIAS",
        "first_name": "VASILIKI",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "047337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

All providers in Wantagh, NY · Periodontics in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.