NPIMap

Organization Active NPI

Prohealth Dental PLLC

  • Dentist
  • Oceanside, NY
National Provider Identifier
1275170219
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PROHEALTH DENTAL PLLC
Practice address
2870 Long Beach Road
Oceanside, NY 11572
Phone
(516) 262-5200
Fax
(516) 262-5300
NPI assigned
Dec 10, 2019
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PROHEALTH DENTAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Natalya Korobeynyk
Title
RCM
Phone
(516) 654-4400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Dentist 122300000X NU Primary

Addresses

Primary practice location

2870 Long Beach Road
Oceanside, NY 11572

Mailing address

3333 New Hyde Park Rd Ste 310
New Hyde Park, NY 11042-1205
Phone (516) 654-4400

National Provider Directory

National Provider Directory
Tax ID family
Prohealth Dental PLLC11 organizations share this tax ID, including this one
Part of
Prohealth Dental PLLC

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2870 Long Beach Rd
Oceanside, NY 11572
Phone (516) 262-5200

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1275170219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 NEW HYDE PARK RD STE 310",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421205",
            "telephone_number": "516-654-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 LONG BEACH ROAD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "11572",
            "telephone_number": "516-262-5200",
            "fax_number": "516-262-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROHEALTH DENTAL PLLC",
        "enumeration_date": "2019-12-10",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "KOROBEYNYK",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "RCM",
        "authorized_official_telephone_number": "516-654-4400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.