Elliot L. Auerbach, DDS, PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

30791 Issued in NY

Legal business name

ELLIOT L. AUERBACH, DDS, PC

Practice address

29 Barstow Rd
Suite 105
Great Neck, NY 11021-2209

Phone

(516) 466-3611

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan Coven Auerbach, DDS

Title

Owner

Phone

(516) 466-3611

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Coven, D.D.S.

  • Periodontics
  • Great Neck, NY
  • NPI 1003218421
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1467596627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD",
            "address_2": "SUITE 105",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-466-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD",
            "address_2": "SUITE 105",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-466-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIOT L. AUERBACH, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "AUERBACH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "COVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-466-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "30791",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "36475",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eliza Haimi, DDS, PC
• Lydia Elizee, FNP
• Lloyd K Elkowitz, DDS
• Marc Jeffrey Elkowitz, MD
• Ellen Nadell-Siegel Ma-SLP PLLC
• Alexa Renee Ellis, MSN, RN, FNP-BC
• Lauren M. Ellis, PH.D.
• Brian David Ellison, PSY.D
• Ellyn Altman, PHD, PC
• Elsa Lee

• Periodontics in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.