Organization Active NPI

South Bay Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Islip, NY
National Provider Identifier
1417594706
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
SOUTH BAY ORTHODONTICS
Practice address
439 Main St
Islip, NY 11751-3538
Phone
(516) 581-1150
Fax
(631) 581-1152
NPI assigned
Dec 5, 2019
Last updated
Dec 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Margaret Zadnik, DDSNPI 1033431598
Title
President
Phone
(516) 581-1150

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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X NU Primary

Addresses

Primary practice location

439 Main St
Islip, NY 11751-3538

Mailing address

439 Main St
Islip, NY 11751-3538
Phone (516) 581-1150

National Provider Directory

National Provider Directory

Locations

439 Main St
Islip, NY 11751
Phone (516) 581-1150

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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1417594706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513538",
            "telephone_number": "516-581-1150",
            "fax_number": "631-581-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 MAIN ST",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513538",
            "telephone_number": "516-581-1150",
            "fax_number": "631-581-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "ZADNIK",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-581-1150",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.