NPIMap

Organization Active NPI

Nourhan Mekawy, DDS

Doing business as Island Smile Dental Group

  • Dentist
  • Levittown, NY
National Provider Identifier
1376842252
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
055172-1 Issued in NY
Legal business name
NOURHAN MEKAWY, DDS
Doing business as
Island Smile Dental Group
Practice address
3072 Hempstead Tpke
Levittown, NY 11756-1344
Phone
(516) 520-5858
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Nourhan Mekawy, D.D.S.NPI 1972753861
Title
Owner
Phone
(201) 600-9756

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 055172-1 NY Primary

Addresses

Primary practice location

3072 Hempstead Tpke
Levittown, NY 11756-1344

Mailing address

3072 Hempstead Tpke
Levittown, NY 11756-1344
Phone (516) 520-5858

Other identifiers 1

IdentifierTypeStateIssuer
03273714MedicaidNY

Other names 1

  • Island Smile Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

3072 Hempstead Tpke
Levittown, NY 11756
Phone (516) 520-5858

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1376842252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3072 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561344",
            "telephone_number": "516-520-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3072 HEMPSTEAD TPKE",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561344",
            "telephone_number": "516-520-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURHAN MEKAWY, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "MEKAWY",
        "authorized_official_first_name": "NOURHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-600-9756",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "055172-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03273714",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Smile Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.