Suffolk Oral and Maxillofacial Ambulatory Surgery Facility, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0373331 Issued in NY

Legal business name

SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY, P.C.

Practice address

400 Townline Rd Ste 135
Hauppauge, NY 11788-2835

Phone

(631) 360-0266

Fax

(631) 360-0087

NPI assigned

Nov 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Lynn Pierri, DDS, MS

Title

Ceo/President/Oral Surgeon

Phone

(631) 360-0266

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Suffolk Ambulatory Surgery Facility Former legal business name

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1487808333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD STE 135",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882835",
            "telephone_number": "631-360-0266",
            "fax_number": "631-360-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TOWNLINE RD STE 135",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882835",
            "telephone_number": "631-360-0266",
            "fax_number": "631-360-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFOLK ORAL AND MAXILLOFACIAL AMBULATORY SURGERY FACILITY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "PIERRI",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CEO/PRESIDENT/ORAL SURGEON",
        "authorized_official_telephone_number": "631-360-0266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "0373331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1275506008",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Suffolk Ambulatory Surgery Facility",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joseph P Stubel, MD
• Janice Lynn Sudulich, LCSW
• Suffolk Acupuncture Wellness P.C
• Suffolk Ambulatory Surgery Facility
• Suffolk Cty Dept of Health Services
• Kaitlyn Sullivan
• Randi Lee Sumonja
• Robin Susinno
• Deborah Sutton, P.T.
• Suzanne Bergmann LCSW PLLC

• Dental Clinic/Center in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.