NPIMap

Organization Active NPI

Sukoff Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Merrick, NY
National Provider Identifier
1639574866
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
050689 Issued in NY
Legal business name
SUKOFF ORTHODONTICS
Practice address
47 Merrick Ave
Merrick, NY 11566-3416
Phone
(516) 868-3131
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
David H SukoffNPI 1679761647
Title
Dentist
Phone
(516) 868-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 050689 NY Primary

Addresses

Primary practice location

47 Merrick Ave
Merrick, NY 11566-3416

Mailing address

47 Merrick Ave
Merrick, NY 11566-3416
Phone (516) 868-3131

National Provider Directory

National Provider Directory

Locations

47 Merrick Ave
Merrick, NY 11566
Phone (516) 868-3131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1639574866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663416",
            "telephone_number": "516-868-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MERRICK AVE",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115663416",
            "telephone_number": "516-868-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKOFF ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "SUKOFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "516-868-3131"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "050689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.