Eyal Waldman DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

044126 Issued in NY

Legal business name

EYAL WALDMAN DMD PC

Practice address

168 N Ocean Ave
Patchogue, NY 11772-2021

Phone

(631) 289-7179

Fax

(631) 289-0203

NPI assigned

Nov 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eyal Dov Waldman, DMDNPI 1386778645

Title

Owner

Phone

(631) 289-7179

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eyal Dov Waldman, D.M.D.

  • General Practice Dentistry
  • Patchogue, NY
  • NPI 1386778645
  NPD (past) Authorized official

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1295980993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722021",
            "telephone_number": "631-289-7179",
            "fax_number": "631-289-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722021",
            "telephone_number": "631-289-7179",
            "fax_number": "631-289-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYAL WALDMAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "WALDMAN",
        "authorized_official_first_name": "EYAL",
        "authorized_official_middle_name": "DOV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-289-7179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "044126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01346152",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Albert C Esposito, D.P.M.
• Laura Esposito
• Olivia Esposito, PA-C
• Essex Family Health NP PLLC
• Amanda Lyn Evangelista, PA-C
• Eyes for You Optical,Inc.
• Toni Ann Fabian, LCSW-R
• Julia Fahey, M.D.
• Daniel Fain
• Elizabeth Fairless, LPN

• Dentist in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.