Pocono Oral Surgery

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

044627-1 Issued in NY

Legal business name

POCONO ORAL SURGERY

Practice address

451 East Main Street
Middletown, NY 10940

Phone

(845) 343-7529

Fax

(845) 343-7532

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Polito

Title

Office Manager

Phone

(845) 343-7529

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1346445947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 EAST MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-343-7529",
            "fax_number": "845-343-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 EAST MAIN STREET",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "10940",
            "telephone_number": "845-343-7529",
            "fax_number": "845-343-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POCONO ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "POLITO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-343-7529",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "044627-1",
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": "045048-1",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "051165",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylie Plant, REGISTERED NURSE
• Eileen Ploetz, LMSW
• Beth Anne Plotkin, OTR/L
• Jeannette Plunkett
• Christopher Andrew Pochat, DO
• John Podeszwa, M.D
• Tracy Ann Podias
• Jillian Pogozelski, BA, MS CF-SLP
• Olivia Nicole Pogozelski
• Aimee Polanco

• Oral and Maxillofacial Pathology Dentistry in Middletown, NY
• Providers in Middletown, NY by specialty
• Oral and Maxillofacial Pathology Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.