Sioms Forest Hills Management LLC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

SIOMS FOREST HILLS MANAGEMENT LLC

Practice address

167 Froehlich Farm Blvd
Woodbury, NY 11797-2906

Phone

(516) 677-9777

NPI assigned

Jan 27, 2020

Organization subpart

Yes

Parent organization

SIOMS FOREST HILLS MANAGEMENT LLCAs reported in NPPES

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

Authorized official

Name

Steve Yusupov, MD, DDS

Title

Managing Partner

Phone

(516) 677-9777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SIOMS Woodbury Former legal business name

Tax ID family

Sioms Forest Hills Management LLC2 organizations share this tax ID, including this one

Part of

Sioms Forest Hills Management LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sioms Forest Hills Management LLC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Forest Hills, NY
  • NPI 1124659479
  NPD tax ID

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1528699873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972906",
            "telephone_number": "516-677-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIOMS FOREST HILLS MANAGEMENT LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIOMS FOREST HILLS MANAGEMENT LLC",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "YUSUPOV",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "516-677-9777",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03766474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIOMS Woodbury",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stacy Silverman
• Lynn Silverstein, M.D.
• Joshua Scott Simmons
• Sarah Simon
• Pankaj Pal Singh, DDS, MD
• SK Medical Care PC
• Jeffrey Alan Sklar, MD
• Slava Shapiro, DDS, MD , PC
• Neal Smith, MD
• Michelle Soloff

• Oral & Maxillofacial Surgery (D.M.D.) in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.