Sherwin Benlevi, DDS
Individual provider Active NPI General Practice Dentistry · Hollis, NY
NPI 1558675686 · NPPES record last updated Jul 30, 2010
Key facts
- NPI
- 1558675686
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0547291 (NY)
- Practice address
- 19325 85TH Rd
Hollis, NY 11423-1133 - Phone
- (347) 878-2482
- NPI assigned
- Jul 30, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200609002932 | NY | Practitioner - Dentist | 7618272816 | Practice locations: New York, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0547291 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0547291 | NY | Yes |
Addresses
Primary practice location
19325 85TH Rd
Hollis, NY 11423-1133
Mailing address
19325 85TH Rd
Hollis, NY 11423-1133
Phone (347) 878-2482
Other providers in Hollis, NY
- Rima Zahra Bari
- Sloane Bashford
- Shivani Basra
- Jalwa Batul
- Majeda Begum
- Merlyn Hope Bennett
- Ena Benny
- Amanda Lisa Bermudez
- Bernard D Lewin M.D.,P.C.
- Paul Elliot Bernheim
All providers in Hollis, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.