Individual provider Active NPI

Harry Gregory Raff, D.M.D

  • General Practice Dentistry
  • Oceanside, NY
National Provider Identifier
1447593579
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042735 Issued in NY
Practice address
2940 Lincoln Ave
Suite 101
Oceanside, NY 11572-2195
Phone
(516) 766-6780
NPI assigned
Mar 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 042735 NY Primary

Addresses

Primary practice location

2940 Lincoln Ave
Suite 101
Oceanside, NY 11572-2195

Mailing address

2940 Lincoln Ave
Suite 101
Oceanside, NY 11572-2195
Phone (516) 766-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160607000441 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446540298

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
042735NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Exceldent of Oceanside Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1447593579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 LINCOLN AVE",
            "address_2": "SUITE 101",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722195",
            "telephone_number": "516-766-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 LINCOLN AVE",
            "address_2": "SUITE 101",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722195",
            "telephone_number": "516-766-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFF",
        "first_name": "HARRY",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.