Daniel Gerard Pompa, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

033954 Issued in NY

Practice address

11203 Queens Blvd
Suite 202
Forest Hills, NY 11375-5550

Phone

(718) 275-5700

Fax

(718) 275-5279

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Weitzman Oral Surgery and Implantology

  • Oral and Maxillofacial Surgery (Dentist)
  • Forest Hills, NY
  • NPI 1760762934
  NPD (past)

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1407065923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD",
            "address_2": "SUITE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-275-5700",
            "fax_number": "718-275-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD",
            "address_2": "SUITE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-275-5700",
            "fax_number": "718-275-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPA",
        "first_name": "DANIEL",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "033954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith S Pollack, LCSW
• Marina Pollack
• Maribel S Polo Bolano
• Attila J Polonyi, LCSW
• Danielle Polvanov, OD
• Evan Rene Poncher, MD
• Justin C Popso, D.O.
• Jaimie Lynn Porter, OTR/L CBIS
• Rayna F Portnoy, DMD
• Mini Pothen

• Oral and Maxillofacial Surgery (Dentist) in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.