Active NPI
Farrah Yassi, D.D.S
- General Practice Dentistry
- Stony Brook, NY
National Provider Identifier
1366821555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DDS101042
- Practice address
- Suny at Stony Brook Hospital Dentistry
51 Westchester Hall
Stony Brook, NY 11794-8711 - Phone
- (631) 444-2557
- Fax
- (631) 444-6013
- NPI assigned
- May 21, 2015
- Last updated
- Jan 6, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DDS101042 | CA | Primary |
Addresses
Primary practice location
Suny at Stony Brook Hospital Dentistry
51 Westchester Hall
Stony Brook, NY 11794-8711
Mailing address
Suny at Stony Brook Hospital Dentistry
151 Westchester Hall
Stony Brook, NY 11794-8711
Phone (631) 444-2557
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 |
|---|---|---|---|
| DDS101042 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1366821555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SUNY AT STONY BROOK HOSPITAL DENTISTRY",
"address_2": "151 WESTCHESTER HALL",
"city": "STONY BROOK",
"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": "SUNY AT STONY BROOK HOSPITAL DENTISTRY",
"address_2": "51 WESTCHESTER HALL",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117948711",
"telephone_number": "631-444-2557",
"fax_number": "631-444-6013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YASSI",
"first_name": "FARRAH",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-21",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "DDS101042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.