Maxillofacial Ambulatory Surgery Center LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

MAXILLOFACIAL AMBULATORY SURGERY CENTER LLC

Practice address

400 Townline Rd Ste 140
Hauppauge, NY 11788-2841

Phone

(631) 406-9191

Fax

(631) 406-9195

NPI assigned

Oct 9, 2025

Organization subpart

No

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

Authorized official

Name

Lynn Pierri, DDS

Title

Owner

Phone

(631) 360-0266

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1407721251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD STE 140",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882841",
            "telephone_number": "631-406-9191",
            "fax_number": "631-406-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD STE 140",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882841",
            "telephone_number": "631-406-9191",
            "fax_number": "631-406-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXILLOFACIAL AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "PIERRI",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-360-0266",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Matteo
• Patricia Loftus Matthews
• Kathleen J Mattiace, RN
• Danielle Matz, LPN
• Antonia Rose Mauro, DDS
• Elisa Maya, M.S.E.D., TSHH
• Karen A Maybank, MD
• David A Mayer, MD
• MC MD P.C.
• Kristen McAllister, RN

• Oral and Maxillofacial Surgery Clinic/Center in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Oral and Maxillofacial Surgery Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.