Active NPI
P. Endodontics of Hicksville PLLC
Doing business as Premier Endodontics of Long Island
- Endodontics
- Hicksville, NY
National Provider Identifier
1548741267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | NY | Primary | |
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | NY | ||
| Periodontics | 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
National Provider Directory
National Provider DirectoryLocations
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.