Organization Active NPI

Huntington Family Dentistry PC

Doing business as Molar TO Molar Dentistry

  • General Practice Dentistry
  • Huntington Station, NY
National Provider Identifier
1245679224
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HUNTINGTON FAMILY DENTISTRY PC
Doing business as
Molar TO Molar Dentistry
Practice address
1679 New York Ave
Huntington Station, NY 11746-2406
Phone
(631) 771-1577
Fax
(631) 771-1571
NPI assigned
Jun 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Dr. Shaifali Rametra, D.D.SNPI 1144451899
Title
President
Phone
(631) 771-1577

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1679 New York Ave
Huntington Station, NY 11746-2406

Mailing address

1679 New York Ave
Huntington Station, NY 11746-2406
Phone (631) 771-1577

Other identifiers 1

IdentifierTypeStateIssuer
03744947MedicaidNY

Other names 1

  • Molar TO Molar Dentistry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211103002536 NY Part B Supplier - Clinic/Group Practice 7012305444 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington Station, NY

National Provider Directory

National Provider Directory

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": "1371945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1245679224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1679 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462406",
            "telephone_number": "631-771-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 NEW YORK AVE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117462406",
            "telephone_number": "631-771-1577",
            "fax_number": "631-771-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-23",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "RAMETRA",
        "authorized_official_first_name": "SHAIFALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-771-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03744947",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molar TO Molar Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.