Organization Active NPI

P. Endodontics of Hicksville PLLC

Doing business as Premier Endodontics of Long Island

  • Endodontics
  • Hicksville, NY
National Provider Identifier
1548741267
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
P. ENDODONTICS OF HICKSVILLE PLLC
Doing business as
Premier Endodontics of Long Island
Practice address
400 South Oyster Bay Road
Suite 301
Hicksville, NY 11801
Phone
(516) 217-7000
NPI assigned
Aug 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Dr. Ashish Sahasrabudhe, D.M.D.
Title
Owner
Phone
(516) 222-1822

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X NY Primary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X NY
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X NY

Addresses

Primary practice location

400 South Oyster Bay Road
Suite 301
Hicksville, NY 11801

Mailing address

400 South Oyster Bay Road
Suite 301
Hicksville, NY 11801
Phone (516) 217-7000

Other names 1

  • Premier Endodontics of Long Island Doing business as

National Provider Directory

National Provider Directory

Locations

400 S Oyster Bay Rd
Ste 301
Hicksville, NY 11801
Phone (516) 933-8527

NPI Registry JSON

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

{
    "created_epoch": "1534896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1548741267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SOUTH OYSTER BAY ROAD",
            "address_2": "SUITE 301",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "11801",
            "telephone_number": "516-217-7000",
            "fax_number": "516-513-1450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SOUTH OYSTER BAY ROAD",
            "address_2": "SUITE 301",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "11801",
            "telephone_number": "516-217-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. ENDODONTICS OF HICKSVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "SAHASRABUDHE",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-222-1822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Endodontics of Long Island",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.