Organization Active NPI

Huntington Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntington, NY
National Provider Identifier
1396980512
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
HUNTINGTON ORAL & MAXILLOFACIAL SURGERY
Practice address
215 E Main St
Huntington, NY 11743-7904
Phone
(631) 421-0100
Fax
(631) 421-7101
NPI assigned
Dec 3, 2008
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Dr. Robert James Maiorino, DDSNPI 1487740429
Title
Owner
Phone
(631) 421-0100

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

215 E Main St
Huntington, NY 11743-7904

Mailing address

215 E Main St
Suite 100
Huntington, NY 11743-7904
Phone (631) 421-0100

National Provider Directory

National Provider Directory

Locations

215 E Main St
Huntington, NY 11743
Phone (631) 421-0100

215 E Main St
Ste 100
Huntington, NY 11743
Phone (631) 421-0100

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": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1396980512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437904",
            "telephone_number": "631-421-0100",
            "fax_number": "631-421-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117437904",
            "telephone_number": "631-421-0100",
            "fax_number": "631-421-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUNTINGTON ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "MAIORINO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-421-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.