NPIMap

Organization Active NPI

New York Comprehensive Orthognathic and Maxillofacial Surgery PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New Hyde Park, NY
National Provider Identifier
1699782219
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
024890 Issued in NY
Legal business name
NEW YORK COMPREHENSIVE ORTHOGNATHIC AND MAXILLOFACIAL SURGERY PC
Practice address
2001 Marcus Ave
Suite N-10
New Hyde Park, NY 11042-1011
Phone
(516) 775-1818
Fax
(516) 775-0892
NPI assigned
Aug 3, 2006
Last updated
Jul 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Bibi Majeed, DO
Title
Patient Accounts
Phone
(516) 775-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 024890 NY Primary

Addresses

Primary practice location

2001 Marcus Ave
Suite N-10
New Hyde Park, NY 11042-1011

Mailing address

2001 Marcus Ave
Suite N-10
New Hyde Park, NY 11042-1011
Phone (516) 775-1818

Other identifiers 7

IdentifierTypeStateIssuer
01335919MedicaidNY
02238062MedicaidNY
02212444MedicaidNY
01463525MedicaidNY
01559719MedicaidNY
00501157MedicaidNY
01145546MedicaidNY

Other names 2

  • Stephen A. Sachs DDS PC Former legal business name
  • New York Center for Orthognathic and Maxillofacial Surgery Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080710000442 NY Part B Supplier - Clinic/Group Practice 8325045636 Receives reassigned benefits from 10 practitioners
Practice locations: New Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

2001 Marcus Ave
Ste N10
New Hyde Park, NY 11042
Phone (516) 775-1818

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1699782219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N-10",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-775-1818",
            "fax_number": "516-775-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE N-10",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421011",
            "telephone_number": "516-775-1818",
            "fax_number": "516-775-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK COMPREHENSIVE ORTHOGNATHIC AND MAXILLOFACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "MAJEED",
        "authorized_official_first_name": "BIBI",
        "authorized_official_title_or_position": "PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "516-775-1818",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "024890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01335919",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02238062",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02212444",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01463525",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01559719",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00501157",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01145546",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen A. Sachs DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "New York Center for Orthognathic and Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New York Center for Orthognathic and Maxillofacial Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.