Individual provider Active NPI

Carole S. Horowitz, D.M.D.

  • Dentist
  • Lynbrook, NY
National Provider Identifier
1295060762
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
040523-1(N.Y.) Issued in NY
Practice address
50 Hempstead Avenue
Suite K
Lynbrook, NY 11563
Phone
(516) 593-9228
Fax
(516) 593-2603
NPI assigned
Oct 16, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 040523-1(N.Y.) NY Primary

Addresses

Primary practice location

50 Hempstead Avenue
Suite K
Lynbrook, NY 11563

Mailing address

50 Hempstead Avenue
Suite K
Lynbrook, NY 11563
Phone (516) 593-9228

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160505001969 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8921307356

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040523-1(N.Y.)NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1255651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255651200000",
    "number": "1295060762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HEMPSTEAD AVENUE",
            "address_2": "SUITE K",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "11563",
            "telephone_number": "516-593-9228",
            "fax_number": "516-593-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HEMPSTEAD AVENUE",
            "address_2": "SUITE K",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "11563",
            "telephone_number": "516-593-9228",
            "fax_number": "516-593-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROWITZ",
        "first_name": "CAROLE",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040523-1(N.Y.)",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.