NPIMap

Organization Active NPI

Dr. Roger M.Giuliani D.D.S.P.C

  • General Practice Dentistry
  • Massapequa, NY
National Provider Identifier
1679615017
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26946 Issued in NY
Legal business name
DR. ROGER M.GIULIANI D.D.S.P.C
Practice address
25 Carmans Rd
Massapequa, NY 11758-4749
Phone
(516) 799-5577
Fax
(516) 799-5547
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roger M. Giuliani, DDSNPI 1245288539
Title
Owner
Phone
(516) 799-5577

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 26946 NY Primary

Addresses

Primary practice location

25 Carmans Rd
Massapequa, NY 11758-4749

Mailing address

25 Carmans Rd
Massapequa, NY 11758-4749
Phone (516) 799-5577

Other names 1

  • Sunrise Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

25 Carmans Rd
Massapequa, NY 11758
Phone (516) 798-6786

Practitioners & affiliated clinicians

Practitioners 4

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679615017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CARMANS RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584749",
            "telephone_number": "516-799-5577",
            "fax_number": "516-799-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CARMANS RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584749",
            "telephone_number": "516-799-5577",
            "fax_number": "516-799-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROGER M.GIULIANI D.D.S.P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GIULIANI",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-799-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "26946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunrise Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.