Manisha Suri DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

054438 Issued in NY

Legal business name

MANISHA SURI DDS PC

Doing business as

Smiles on Wellwood

Practice address

764 Wellwood Ave
Lindenhurst, NY 11757-1606

Phone

(631) 957-2211

NPI assigned

Dec 10, 2016

Organization subpart

No

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

Authorized official

Name

Manisha Suri, D.D.S.

Title

Owner

Phone

(631) 957-2211

Specialties & licenses 1

Addresses

Other names 1

• Smiles on Wellwood 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.

• Leonard Irwin Berkowitz, D.D.S.

  • General Practice Dentistry
  • Dix Hills, NY
  • NPI 1346239688
  NPD (past)

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

{
    "created_epoch": "1481328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481328000000",
    "number": "1649714692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571606",
            "telephone_number": "631-957-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 WELLWOOD AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117571606",
            "telephone_number": "631-957-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANISHA SURI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-10",
        "last_updated": "2016-12-10",
        "status": "A",
        "authorized_official_last_name": "SURI",
        "authorized_official_first_name": "MANISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-957-2211",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "054438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles on Wellwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia J Mahoney, RN
• John E Maiorino, P.A.
• Randolph Malsky, PHD
• Elizabeth P. Maltin, MD
• Harvey R Manes, MD
• Linda E Manno
• James Manzione, M.D.
• Marc N. Sperber, DDS & Joseph Portnoy, DDS, LLC
• Daniel Carl Marcello, R.PH.
• Shavon L. Marsh

• Dentist in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2016; 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.