Lloyd Bauer, DDS
Individual provider Active NPI General Practice Dentistry · Cedarhurst, NY
NPI 1619957537 · NPPES record last updated Sep 10, 2008
Key facts
- NPI
- 1619957537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 043784 (NY)
- Practice address
- 145 Maple Ave
Cedarhurst, NY 11516-2225 - Phone
- (516) 295-0081
- Fax
- (516) 295-0081
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|---|
| I20160427000327 | NY | Order and Referring Only - Oral Surgery |
3173822038 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043784 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark M. Bornstein, DDS, PLLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 043784 | NY | Yes |
Addresses
Primary practice location
145 Maple Ave
Cedarhurst, NY 11516-2225
Mailing address
569 Fairway Dr
Woodmere, NY 11598-1928
Other providers in Cedarhurst, NY
- Fatema Badawy
- Balance Diagnostics USA LLC
- Lisa Dawn Barnett
- Gabriela M Barreto
- Tatiana V Bassin
- Mandy Bauer
- Jennifer Becker
- Aliza Ann Beer
- Elizabeth R Begun
- Morgan Sara Belodoff
All providers in Cedarhurst, 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 Sep 10, 2008. 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.