Middle Island Dental Care PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIDDLE ISLAND DENTAL CARE PLLC

Practice address

325 Middle Country Rd
Selden, NY 11784-2545

Phone

(631) 696-6600

NPI assigned

Jan 20, 2020

Organization subpart

No

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

Authorized official

Name

Victor Katsman, DDS

Title

Owner

Phone

(516) 302-7372

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1427688373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 AMY PL",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106053902",
            "telephone_number": "516-302-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842545",
            "telephone_number": "631-696-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE ISLAND DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "KATSMAN",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-302-7372",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03269418",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Lois Medina-Lomas, LCSW-R
• Meilssa Bialowasz Inc.
• Michael a. Bianco, M.D., P.C.
• Yvonne Marie Michalski
• Middle Country CSD
• Tom Mihalko
• Michele A. Miklitsch, R.N.
• Ellen Mathipa Mokau, LPN
• Angela Michele Molina, LPN
• Caitlin Monahan, LMHC

• General Practice Dentistry in Selden, NY
• Providers in Selden, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.