Long Island Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LONG ISLAND PEDIATRIC DENTISTRY PLLC

Doing business as

Long Island Pediatric Dentistry

Practice address

31 Frost LN
Lawrence, NY 11559-1808

Phone

(516) 295-1155

NPI assigned

Nov 16, 2021

Last updated

Jul 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paola Ramos

Title

Credentialing Coordinator

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Long Island Pediatric Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sam Abettan, DDS

  • Pediatric Dentistry
  • West Hempstead, NY
  • NPI 1720517600
  NPD (past)
• Aaron Akhavan, DMD

  • Pediatric Dentistry
  • Brooklyn, NY
  • NPI 1144888520
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1326704081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 FROST LN",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591808",
            "telephone_number": "516-295-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 FROST LN",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591808",
            "telephone_number": "516-295-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "PAOLA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Island Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rafaella Lightman
• Elisheva Listhaus
• Claudia Witte Loewenstein, M.S.,C.C.C.
• Aurlee Loewy, DPT
• Long Island Chiropractic and Sports Therapy, P.C.
• Philip Lowenstein, P.A.
• Brucha Lowinger, PSY.D.
• Milka Lowinger
• Jaime Madden, PHYSICAL THERAPIST
• Mandi Joy Madowicz, RD, CDN, CDE

• Pediatric Dentistry in Lawrence, NY
• Providers in Lawrence, 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 Jul 2, 2024; 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.