NPIMap

Organization Active NPI

Prosthodontic Assoc. of Long Island

  • Dentist
  • New Hyde Park, NY
National Provider Identifier
1386972388
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
041487 Issued in NY
Legal business name
PROSTHODONTIC ASSOC. OF LONG ISLAND
Practice address
One Hollow Lane
Suite 202
New Hyde Park, NY 11042
Phone
(516) 627-0999
Fax
(516) 627-0905
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Howard N. Livers, DDSNPI 1093104622
Title
Dentist
Phone
(516) 627-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 041487 NY Primary

Addresses

Primary practice location

One Hollow Lane
Suite 202
New Hyde Park, NY 11042

Mailing address

One Hollow Lane
Suite 202
New Hyde Park, NY 11042
Phone (516) 627-0999

National Provider Directory

National Provider Directory

Locations

1 Hollow Ln
Ste 202
New Hyde Park, NY 11042
Phone (516) 359-7483

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1386972388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOLLOW LANE",
            "address_2": "SUITE 202",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-627-0999",
            "fax_number": "516-627-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOLLOW LANE",
            "address_2": "SUITE 202",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-627-0999",
            "fax_number": "516-627-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSTHODONTIC ASSOC. OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "LIVERS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-627-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "041487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.