NPIMap

Organization Active NPI

All County Oral & Maxillofacial Surgery LLP

  • Oral and Maxillofacial Surgery (Dentist)
  • Melville, NY
National Provider Identifier
1508011305
Registry record updated Sep 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ALL COUNTY ORAL & MAXILLOFACIAL SURGERY LLP
Practice address
115 Broadhollow Rd
Suite 200
Melville, NY 11747-4701
Phone
(631) 752-1033
Fax
(631) 752-1034
NPI assigned
Nov 20, 2008
Last updated
Sep 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2019

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

Authorized official

Name
Dr. Ross O Chavkin, D.D.S.NPI 1093754467
Title
Owner
Phone
(631) 752-1033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

115 Broadhollow Rd
Suite 200
Melville, NY 11747-4701

Mailing address

115 Broadhollow Rd Ste 200
Melville, NY 11747-4915
Phone (631) 752-1033

National Provider Directory

National Provider Directory

Locations

115 Broadhollow Rd
Ste 200
Melville, NY 11747
Phone (631) 752-1033

425 Broadhollow Rd
Ste 102
Melville, NY 11747
Phone (631) 752-1033

Practitioners & affiliated clinicians

Practitioners 4

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": "1227139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1508011305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BROADHOLLOW RD STE 200",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474915",
            "telephone_number": "631-752-1033",
            "fax_number": "631-752-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BROADHOLLOW RD",
            "address_2": "SUITE 200",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474701",
            "telephone_number": "631-752-1033",
            "fax_number": "631-752-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL COUNTY ORAL & MAXILLOFACIAL SURGERY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-20",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "CHAVKIN",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-752-1033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "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": []
}

Other providers in Melville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.