Individual provider Active NPI

Sayamol Bo Voraragsa, D.D.S.

  • General Practice Dentistry
  • Hempstead, NY
National Provider Identifier
1679776967
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
053409 Issued in NY
Practice address
250 Fulton Ave Ste 320
Hempstead, NY 11550-3901
Phone
(516) 744-6926
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 053409 NY Primary

Addresses

Primary practice location

250 Fulton Ave Ste 320
Hempstead, NY 11550-3901

Mailing address

857 S Oyster Bay Rd
Bethpage, NY 11714-1030
Phone (516) 622-8888

Other practice location 1

180 Broadway Ste 2
Hicksville, NY 11801-4230
Phone (516) 433-1800

Other practice location 2

113 Glen Cove Ave
Glen Cove, NY 11542-3438
Phone (516) 622-8888

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
I20260225003106 NY Practitioner - Dentist 6608357884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
New York University College of Dentistry, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

857 S Oyster Bay Rd
Bethpage, NY 11714-1030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Evans Center, Inc CurrentSince Feb 19, 2026 Accepting new patients
Charles Evans Center, Inc. CurrentSince Feb 19, 2026 Accepting new patients

Locations

857 S Oyster Bay Rd
Bethpage, NY 11714
Phone (516) 622-8888

113 Glen Cove Ave
Glen Cove, NY 11542
Phone (516) 622-8888

Organizations & group practices 2

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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1679776967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 S OYSTER BAY RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117141030",
            "telephone_number": "516-622-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 FULTON AVE STE 320",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503901",
            "telephone_number": "516-744-6926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Broadway Ste 2",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014230",
            "country_code": "US",
            "telephone_number": "516-433-1800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Glen Cove Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Cove",
            "state": "NY",
            "postal_code": "115423438",
            "country_code": "US",
            "telephone_number": "516-622-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VORARAGSA",
        "first_name": "SAYAMOL",
        "middle_name": "BO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.