Amityville Orthodontics P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

AMITYVILLE ORTHODONTICS P.C.

Doing business as

Justyna Balicka Orthodontics

Practice address

18 Broadway
Amityville, NY 11701-2726

Phone

(631) 201-8100

NPI assigned

Feb 12, 2024

Last updated

Feb 12, 2024By 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

Justyna Balicka, DDSNPI 1427315316

Title

Doctor

Phone

(516) 805-4994

Specialties & licenses 1

Addresses

Other names 1

• Justyna Balicka Orthodontics Doing business as

Locations

Practitioners 1

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.

• Justyna Balicka, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Huntington, NY
  • NPI 1427315316
  NPD (past) Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1578327466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 DOGWOOD LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906021",
            "telephone_number": "516-660-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012726",
            "telephone_number": "631-201-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITYVILLE ORTHODONTICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-10",
        "status": "A",
        "authorized_official_last_name": "BALICKA",
        "authorized_official_first_name": "JUSTYNA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "516-805-4994",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Justyna Balicka Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Amityville, NY
• Providers in Amityville, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; 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.