Individual provider Active NPI

Oksana Tsish, D.D.S.

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1457541161
Registry record updated Jul 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
052447-1 Issued in NY
Practice address
976 Bard Ave
Staten Island, NY 10301-3322
Phone
(718) 448-9078
Fax
(718) 448-9492
NPI assigned
Jul 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2007

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 052447-1 NY Primary

Addresses

Primary practice location

976 Bard Ave
Staten Island, NY 10301-3322

Mailing address

29 Dominic Dr
Monroe, NJ 08831-4442
Phone (631) 335-8945

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

LicenseStateTypeSpecialty
052447-1NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Leprechaun Dental P.C. PastSince Dec 22, 2024 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": "1185667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185667200000",
    "number": "1457541161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 DOMINIC DR",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088314442",
            "telephone_number": "631-335-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "976 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103013322",
            "telephone_number": "718-448-9078",
            "fax_number": "718-448-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSISH",
        "first_name": "OKSANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-29",
        "last_updated": "2007-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052447-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2007; 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.