Elsayed Ahmed Eldik, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040636 Issued in NY

Practice address

51 Primrose LN
Kings Park, NY 11754-3932

Phone

(516) 318-5878

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285714014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 PRIMROSE LN",
            "address_2": "393 SUNRISE HIGHWAY, WEST BABYLON 11704",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543932",
            "telephone_number": "516-318-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 PRIMROSE LN",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543932",
            "telephone_number": "516-318-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDIK",
        "first_name": "ELSAYED",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Francis Dussel, RN
• Elzbieta Dziudziel, RPT
• Eastern Physical Medicine and Rehabilitation PC
• Arash Ebrahim-Hakkak
• Robin Mary Ehrlich, P.T.A.
• Alyson Elish-Swartz
• Laura Alison Ellick, PH.D.
• Charla Engel
• Carol A Esposito
• Vivian Patricia Everett

• General Practice Dentistry in Kings Park, NY
• Providers in Kings Park, NY by specialty
• General Practice Dentistry in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.