Active NPI
Neda Eghbali
- Pediatric Dentistry
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 060520
- Practice address
- 509 W Merrick Rd Ste 103
Valley Stream, NY 11580-5252 - Phone
- (516) 599-1701
- NPI assigned
- Apr 4, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatric Dentistry | 1223P0221X | 060520 | NY | Primary |
Addresses
Primary practice location
509 W Merrick Rd Ste 103
Valley Stream, NY 11580-5252
Mailing address
Stony Brook School of Dental Medicine
151 Westchester Hall
Stonybrook, NY 11794-8711
Phone (631) 444-2557
Other practice location 1
Stony Brook School of Dental Medicine
151 Westchester Hall
Stonybrook, NY 11794-8711
Phone (631) 444-2557
Other practice location 2
Maimonides Medical Center
4802 10th Ave
Brooklyn, NY 11219-2916
Phone (718) 283-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060520 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laser Dentistry for Children LLC | Pediatric Dentistry | Current | Accepting new patients |
| Helen Weinberg Ortho Group DDS PLLC | Past | Accepting new patients |
Locations
509 W Merrick Rd
Ste 103
Valley Stream, NY 11580
Phone (516) 599-1701
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Valley Stream, NY
- NPI 1386379816
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Catskill, NY
- NPI 1194095844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635811200000",
"number": "1326544784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STONY BROOK SCHOOL OF DENTAL MEDICINE",
"address_2": "151 WESTCHESTER HALL",
"city": "STONYBROOK",
"state": "NY",
"postal_code": "117948711",
"telephone_number": "631-444-2557",
"fax_number": "631-444-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 W MERRICK RD STE 103",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115805252",
"telephone_number": "516-599-1701"
}
],
"practiceLocations": [
{
"address_1": "Stony Brook School of Dental Medicine",
"address_2": "151 Westchester Hall",
"address_purpose": "LOCATION",
"city": "Stonybrook",
"state": "NY",
"postal_code": "117948711",
"country_code": "US",
"telephone_number": "631-444-2557",
"fax_number": "631-444-6013",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Maimonides Medical Center",
"address_2": "4802 10th Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112192916",
"country_code": "US",
"telephone_number": "718-283-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EGHBALI",
"first_name": "NEDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-04",
"last_updated": "2021-11-02",
"certification_date": "2021-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "NY",
"license": "060520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.