Elizabeth Skaf Michelizzi, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

059045-1 Issued in NY

Practice address

500 Portion Rd Ste 16
Ronkonkoma, NY 11779-4587

Phone

(631) 451-7700

NPI assigned

Aug 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Elizabeth Skaf Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1346555208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 AVALON CIR",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873863",
            "telephone_number": "631-838-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PORTION RD STE 16",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794587",
            "telephone_number": "631-451-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELIZZI",
        "first_name": "ELIZABETH",
        "middle_name": "SKAF",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401414984",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "059045-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "SKAF",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise Mevs
• Ruth M Meyer, LCSW-R, CASAC
• Amanda Marie Meyerricks, PA-C
• Mi Medical PLLC
• Kaitlyn Helen Michaud, MS CCC SLP
• Mid Island Internal Medicine, PLLC
• Mid-Suffolk Medical Services PLLC
• Susan M. Mileti, OTR/L
• Danny Peter Miller, PHARMD
• Carlos H Mineiro

• Pediatric Dentistry in Ronkonkoma, NY
• Providers in Ronkonkoma, 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 Aug 25, 2020; 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.