Individual provider Active NPI

Sasha Daniel Cekada, DDS

  • General Practice Dentistry
  • Amityville, NY
National Provider Identifier
1619955564
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049684 Issued in NY
Practice address
193 Broadway
Amityville, NY 11701-2761
Phone
(631) 598-2940
Fax
(631) 598-8287
NPI assigned
Jan 2, 2006
Last updated
Nov 13, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049684 NY Primary

Addresses

Primary practice location

193 Broadway
Amityville, NY 11701-2761

Mailing address

25201 58TH Ave
#2
Little Neck, NY 11362-2113
Phone (718) 767-3504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630001170 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567628332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sasha Cekada DDS P C PastSince Nov 1, 2007 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1619955564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25201 58TH AVE",
            "address_2": "#2",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622113",
            "telephone_number": "718-767-3504",
            "fax_number": "718-969-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012761",
            "telephone_number": "631-598-2940",
            "fax_number": "631-598-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEKADA",
        "first_name": "SASHA",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-02",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

Verify at the official NPI Registry.