Oral Surgery Associates P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGERY ASSOCIATES P.C.

Practice address

4300 Hylan Blvd
Suite 2G
Staten Island, NY 10312-6507

Phone

(718) 967-3200

NPI assigned

Aug 30, 2013

Organization subpart

No

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

Authorized official

Name

Greg Panossian, DDS

Title

Owner/Partner

Phone

(718) 967-3200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1457785024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 HYLAN BLVD",
            "address_2": "SUITE 2G",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 HYLAN BLVD",
            "address_2": "SUITE 2G",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126507",
            "telephone_number": "718-967-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-30",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "PANOSSIAN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "718-967-3200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.