Prohealth Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PROHEALTH DENTAL PLLC

Practice address

331 Downing Dr
Yorktown Heights, NY 10598-4413

Phone

(516) 654-4400

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Natalya Korobeynyk

Title

Director of Operations

Phone

(516) 654-4400

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Prohealth Dental PLLC

  • Periodontics
  • New Hyde Park, NY
  • NPI 1255701959

  7911261847

  Same PAC ID
• Prohealth Dental PLLC

  • General Practice Dentistry
  • Huntington, NY
  • NPI 1477010148

  7911261847

  Same PAC ID

Tax ID family

Caremount Dental PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Caremount Dental Care PLLC

  • Dentist
  • Mount Kisco, NY
  • NPI 1639761646
  NPD tax ID
• Caremount Dental PLLC

  • Durable Medical Equipment & Medical Supplies
  • Mount Kisco, NY
  • NPI 1275104275
  NPD tax ID

Locations

Practitioners 1

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

• Alexandra Makara, DDS

  • Pediatric Dentistry
  • Stony Brook, NY
  • NPI 1710508023

  General Practice

  NPD (past)

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1336717628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 NEW HYDE PARK RD STE 310",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421205",
            "telephone_number": "516-654-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 DOWNING DR",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984413",
            "telephone_number": "516-654-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "KOROBEYNYK",
        "authorized_official_first_name": "NATALYA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "516-654-4400"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael-Louis Power, MSPT
• Nancy Pozo
• Ornela Prela
• Kimberly Prescod, DPT
• Toni Prestia
• Emily Puntillo, MD
• Putnam-Northern Westchester Boces
• Laurie Pyburn
• Yonghua Qin, PHARMD
• Silvana Theresa Ragonesi, MS, CASAC-T

• General Practice Dentistry in Yorktown Heights, NY
• Providers in Yorktown Heights, 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 Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.