Fisun Cokyuksel, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047624 Issued in NY

Practice address

760 Old Montauk Highway
Center Moriches, NY 11934

Phone

(631) 874-4707

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710022041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2671",
            "city": "AQUEBOGUE",
            "state": "NY",
            "postal_code": "119312671",
            "telephone_number": "631-901-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 OLD MONTAUK HIGHWAY",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "11934",
            "telephone_number": "631-874-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKYUKSEL",
        "first_name": "FISUN",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center Moriches School District
• Josephine Marie Champlin, DO
• Rachel Laine Charvat, LMSW
• Katieann Clementi, R.N.
• Richard Cloney, NP
• Chantay Cassandra Coleman
• Natalie Collins
• Louise Florence Colon, RN
• Community Connections Counseling Servicecs
• Community Counseling & LCSW Services PC

• General Practice Dentistry in Center Moriches, NY
• Providers in Center Moriches, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.