Kobak & Diamantakis DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KOBAK & DIAMANTAKIS DDS PC

Doing business as

Syosset Dental

Practice address

590 Jericho Tpke
Syosset, NY 11791-4522

Phone

(516) 433-2211

NPI assigned

Dec 30, 2024

Last updated

Jan 3, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenny Garcia-Rocha

Title

Sr Credentialing Team Lead

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Other names 1

• Syosset Dental Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emmanuil Diamantakis, DDS

  • Dentist
  • Syosset, NY
  • NPI 1780942490
  NPD
• Francine Paula Raxenberg, DDS

  • Dentist
  • Syosset, NY
  • NPI 1255490553
  NPD
• Richard Jefffrey Kobak, D.D.S.

  • Dentist
  • Syosset, NY
  • NPI 1538213889
  NPD (past)
• Maximilian Selim Marks, DDS

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1194216523
  NPD (past)

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1669280178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 JERICHO TPKE",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914522",
            "telephone_number": "516-433-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOBAK & DIAMANTAKIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA-ROCHA",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "SR CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Syosset Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Syosset Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Klein, RD
• Megan Klein, PA
• Sandra Klein, O.D.
• Sarah Klimberg
• Julie Marie Knakal, OTR
• Richard Jefffrey Kobak, D.D.S.
• Kerri Ann Kocoris
• Jennifer Diane Kolasinski, DPT
• Deqiong Kong
• Izabela Konopko, PSYD

• Dental Clinic/Center in Syosset, NY
• Providers in Syosset, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.