Organization Active NPI

Chavkin Oral and Maxillofacial Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • New Hyde Park, NY
National Provider Identifier
1700420429
Registry record updated Nov 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
CHAVKIN ORAL AND MAXILLOFACIAL SURGERY LLC
Practice address
414 Jericho Tpke Ste 2
New Hyde Park, NY 11040-4510
Phone
(516) 755-7960
Fax
(516) 231-2136
NPI assigned
Nov 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2019

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

Authorized official

Name
Yanelin Gonzalez
Title
Manager
Phone
(516) 755-7960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

414 Jericho Tpke Ste 2
New Hyde Park, NY 11040-4510

Mailing address

414 Jericho Tpke Ste 2
New Hyde Park, NY 11040-4510
Phone (516) 755-7960

Other identifiers 2

IdentifierTypeStateIssuer
1417354457OtherNYNPI
1093754467OtherNYNPI

Other names 1

  • All County Oral & Maxillofacial Surgery - New Hyde Park Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572998400000",
    "number": "1700420429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 JERICHO TPKE STE 2",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404510",
            "telephone_number": "516-755-7960",
            "fax_number": "516-231-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 JERICHO TPKE STE 2",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404510",
            "telephone_number": "516-755-7960",
            "fax_number": "516-231-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVKIN ORAL AND MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2019-11-06",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YANELIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-755-7960"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417354457",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093754467",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All County Oral & Maxillofacial Surgery - New Hyde Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 6, 2019; 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.