Catherine M Skarulis, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

039750 Issued in NY

Practice address

213 Hallock Rd Ste 4a
Stony Brook, NY 11790-3000

Phone

(631) 762-9910

Fax

(631) 675-9238

NPI assigned

Aug 20, 2009

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Luxxe Medspa Inc

  • Clinic/Center
  • Garden City, NY
  • NPI 1124808712
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1275765471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 HALLOCK RD STE 4A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903000",
            "telephone_number": "631-762-9910",
            "fax_number": "631-675-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 HALLOCK RD STE 4A",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903000",
            "telephone_number": "631-762-9910",
            "fax_number": "631-675-9238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Old Country Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "NY",
            "postal_code": "115301703",
            "country_code": "US",
            "telephone_number": "516-742-2961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKARULIS",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "039750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharlaina Carmelle Sircar, M.D.
• Catherine Siu
• Kimberly Siu, MD
• Matthew J Skaritka, FNP-C
• Jacqueline Skarre, N.P.
• Kevin Skier, MD
• Alexander Slade, M.D., PH.D.
• Adam Slavick, MD
• Sleep Care Enterprises, Inc (Sleep Care, Inc)
• Sleep Diagnostics Group LLC

• Pediatric Dentistry in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.