Active NPI
Jeffrey M. Tulman, D.D.S
- Oral and Maxillofacial Surgery (Dentist)
- Melville, NY
National Provider Identifier
1265435259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 036604
- Practice address
- 425 Broadhollow Rd
Ste 102
Melville, NY 11747-4701 - Phone
- (631) 752-1033
- Fax
- (631) 752-1034
- NPI assigned
- May 23, 2005
- Reactivated
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 036604 | NY | Primary |
Addresses
Primary practice location
425 Broadhollow Rd
Ste 102
Melville, NY 11747-4701
Mailing address
425 Broadhollow Rd
Ste 102
Melville, NY 11747-4701
Phone (631) 752-1033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036604 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All County Oral & Maxillofacial Surgery LLP | Oral and Maxillofacial Surgery | Past | Accepting new patients |
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Melville, NY
- NPI 1508011305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265435259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 BROADHOLLOW RD",
"address_2": "STE 102",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474701",
"telephone_number": "631-752-1033",
"fax_number": "631-752-1034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 BROADHOLLOW RD",
"address_2": "STE 102",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474701",
"telephone_number": "631-752-1033",
"fax_number": "631-752-1034"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TULMAN",
"first_name": "JEFFREY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2007-07-08",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "036604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melville, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.