Robert Ecker DDS David J Engelson DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

024430 Issued in NY

Legal business name

ROBERT ECKER DDS DAVID J ENGELSON DDS PC

Practice address

1579 Brentwood Rd
Bayshore, NY 11706

Phone

(631) 665-8484

Fax

(631) 665-3953

NPI assigned

Apr 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David J Engelson, DDSNPI 1669796835

Title

VP

Phone

(631) 665-8484

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• David J Engelson, DDS

  • General Practice Dentistry
  • Bay Shore, NY
  • NPI 1669796835
  NPD (past) Authorized official
• Eugene Louis Antenucci, DDS

  • General Practice Dentistry
  • Bay Shore, NY
  • NPI 1205906807
  NPD (past)

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528020583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 BRENTWOOD RD",
            "city": "BAYSHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-665-8484",
            "fax_number": "631-665-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 BRENTWOOD RD",
            "city": "BAYSHORE",
            "state": "NY",
            "postal_code": "11706",
            "telephone_number": "631-665-8484",
            "fax_number": "631-665-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT ECKER DDS DAVID J ENGELSON DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ENGELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "631-665-8484",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "024886",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "024430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeannine Marie Rizzo, LCSW-R
• Vito Joseph Rizzo, DPM
• RNB Optical, Inc. (Eye Supply of Bay Shore)
• Larissa Roa-Reyes, LMSW
• Robert C Doht DDS PC
• Robin Marie Roberts, LMSW
• Noah David Robey, MD
• Rosalba Rocchio, SLP
• Irene Elizabeth Roche, P.T.
• Jose Ignacio Rodriguez-Ospina, MD

• Dentist in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.