Panossian Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

051170 Issued in NY

Legal business name

PANOSSIAN ORAL SURGERY

Practice address

5240 Merrick Rd
Suite 1
Massapequa, NY 11758-6207

Phone

(516) 541-4767

Fax

(516) 541-4769

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Greg Panossian

Title

Oral Surgeon

Phone

(516) 541-4767

Specialties & licenses 1

Addresses

Tax ID family

Greg J Panossian DDS PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greg J Panossian DDS PLLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Massapequa, NY
  • NPI 1962622332
  NPD tax ID

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1407217870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 MERRICK RD",
            "address_2": "SUITE 1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586207",
            "telephone_number": "516-541-4767",
            "fax_number": "516-541-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 MERRICK RD",
            "address_2": "SUITE 1",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586207",
            "telephone_number": "516-541-4767",
            "fax_number": "516-541-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANOSSIAN ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "PANOSSIAN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "516-541-4767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "051170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Paladino, D.D.S.
• Natasha Palmer, LMSW
• Shirley Palmer
• Francesca Palumbo
• Dawn Panarello-Pepe, MS
• Greg J. Panossian, DDS
• Megan Elizabeth Papagno, MS
• Maria Papoulis, M.A.
• Francine Parathyras
• Pushpaben M Parikh, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Massapequa, NY
• Providers in Massapequa, 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 Mar 14, 2016; 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.