Active NPI
Tommy Ye, D.D.S.
- General Practice Dentistry
- Bay Shore, NY
National Provider Identifier
1427404755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 059113
- Practice address
- 1701 Sunrise Hwy # C7
Bay Shore, NY 11706-6091 - Phone
- (631) 666-1440
- NPI assigned
- May 5, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 059113 | NY | Primary |
Addresses
Primary practice location
1701 Sunrise Hwy # C7
Bay Shore, NY 11706-6091
Mailing address
20103 Northern Blvd FL 1
Bayside, NY 11361-2563
Phone (347) 472-0318
Other practice location 1
1601 Veterans Memorial Hwy Ste 200
Islandia, NY 11749-1528
Phone (631) 348-7777
Other practice location 2
20103 Northern Blvd Fl 1
Bayside, NY 11361-2563
Phone (347) 472-0318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059113 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avalon Dental, PC | Current | Accepting new patients | |
| Exceldent Dental of Islandia, LLP | General Practice | Past | Accepting new patients |
Locations
20103 Northern Blvd
#1
Flushing, NY 11361
Phone (347) 472-0318
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Flushing, NY
- NPI 1679182919
-
- General Practice Dentistry
- Islandia, NY
- NPI 1497963912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1427404755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20103 NORTHERN BLVD FL 1",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612563",
"telephone_number": "347-472-0318",
"fax_number": "347-472-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 SUNRISE HWY # C7",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066091",
"telephone_number": "631-666-1440"
}
],
"practiceLocations": [
{
"address_1": "1601 Veterans Memorial Hwy Ste 200",
"address_purpose": "LOCATION",
"city": "Islandia",
"state": "NY",
"postal_code": "117491528",
"country_code": "US",
"telephone_number": "631-348-7777",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20103 Northern Blvd Fl 1",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113612563",
"country_code": "US",
"telephone_number": "347-472-0318",
"fax_number": "347-472-0319",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YE",
"first_name": "TOMMY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-05",
"last_updated": "2020-12-16",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.