Organization Active NPI

Mercy Dental LLC

  • General Practice Dentistry
  • Rockville Centre, NY
National Provider Identifier
1447816475
Registry record updated May 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MERCY DENTAL LLC
Practice address
2000 North Village Avenue
Suite 206
Rockville Centre, NY 11570
Phone
(516) 208-5501
Fax
(888) 869-5047
NPI assigned
May 15, 2019
Last updated
May 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2019

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

Authorized official

Name
Dr. Dragos Sandulescu, DDS
Title
Owner of Mercy Dental LLC
Phone
(516) 208-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2000 North Village Avenue
Suite 206
Rockville Centre, NY 11570

Mailing address

2000 North Village Avenue
Suite 206
Rockville Centre, NY 11570
Phone (516) 208-5501

National Provider Directory

National Provider Directory

Locations

2000 N Village Ave
Ste 206
Rockville Ctr, NY 11570
Phone (516) 208-5501

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": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557878400000",
    "number": "1447816475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NORTH VILLAGE AVENUE",
            "address_2": "SUITE 206",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-208-5501",
            "fax_number": "888-869-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NORTH VILLAGE AVENUE",
            "address_2": "SUITE 206",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "11570",
            "telephone_number": "516-208-5501",
            "fax_number": "888-869-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2019-05-15",
        "status": "A",
        "authorized_official_last_name": "SANDULESCU",
        "authorized_official_first_name": "DRAGOS",
        "authorized_official_title_or_position": "OWNER OF MERCY DENTAL LLC",
        "authorized_official_telephone_number": "516-208-5501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.