Individual provider Active NPI

Samuel First, D.S.S.

  • General Practice Dentistry
  • Merrick, NY
National Provider Identifier
1629259270
Registry record updated Sep 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
036171 Issued in NY
Practice address
1469 Merrick Ave
Merrick, NY 11566-1602
Phone
(516) 432-3200
Fax
(516) 379-8000
NPI assigned
Nov 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2009

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 036171 NY Primary

Addresses

Primary practice location

1469 Merrick Ave
Merrick, NY 11566-1602

Mailing address

1469 Merrick Ave
Merrick, NY 11566-1602
Phone (516) 432-3200

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
I20160701001394 NY Order and Referring Only - DentistPractitioner - Dentist 0042502577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036171NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Cosmetic and Family Dentistry P.C. General Practice PastSince Jul 3, 1985 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253232000000",
    "number": "1629259270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661602",
            "telephone_number": "516-432-3200",
            "fax_number": "516-379-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115661602",
            "telephone_number": "516-432-3200",
            "fax_number": "516-379-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRST",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.S.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-23",
        "last_updated": "2009-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "036171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

Verify at the official NPI Registry.