Individual provider Active NPI

Todd Darren Pobiner, D.M.D.

  • Endodontics
  • Wantagh, NY
National Provider Identifier
1386843019
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
052301 Issued in NY
Practice address
3366 Park Ave
Suite 202
Wantagh, NY 11793-3770
Phone
(516) 826-6655
Fax
(516) 826-8542
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 052301 NY Primary

Addresses

Primary practice location

3366 Park Ave
Suite 202
Wantagh, NY 11793-3770

Mailing address

3366 Park Ave
Suite 202
Wantagh, NY 11793-3770
Phone (516) 826-6655

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

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1386843019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "address_2": "SUITE 202",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933770",
            "telephone_number": "516-826-6655",
            "fax_number": "516-826-8542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3366 PARK AVE",
            "address_2": "SUITE 202",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933770",
            "telephone_number": "516-826-6655",
            "fax_number": "516-826-8542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POBINER",
        "first_name": "TODD",
        "middle_name": "DARREN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "052301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wantagh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.