Long Island Oral & Maxillofacial Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC

Practice address

14 Vanderventer Ave
Ste 260
Port Washington, NY 11050-3737

Phone

(516) 944-8330

Fax

(516) 883-1598

NPI assigned

Oct 20, 2006

Organization subpart

Yes

Parent organization

LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PCAs reported in NPPES

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

Authorized official

Name

Mrs. Debra McQuillan

Title

Manager

Phone

(516) 294-9696

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Long Island Oral & Maxillofacial Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Mineola, NY
  • NPI 1912080417

  O20040316000107

  Same enrollment

Tax ID family

Long Isl Oral Maxil Sur2 organizations share this tax ID, including this one

Part of

Long Isl Oral Maxil Sur

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Long Island Oral & Maxillofacial Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Mineola, NY
  • NPI 1912080417
  NPD tax ID

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Choi, MD, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • New York, NY
  • NPI 1043638158

  Oral and Maxillofacial Surgery

  NPD
• Scott Addison Fauvell, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Mineola, NY
  • NPI 1265641732
  NPD
• Alex V. Meneshian, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mineola, NY
  • NPI 1396706412
  NPD
• Luke C Soletic, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1164879581
  NPD
• Scott A Siegel, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Melville, NY
  • NPI 1841251956
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1710060223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VANDERVENTER AVE",
            "address_2": "STE 260",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503737",
            "telephone_number": "516-944-8330",
            "fax_number": "516-883-1598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 VANDERVENTER AVE",
            "address_2": "STE 260",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503737",
            "telephone_number": "516-944-8330",
            "fax_number": "516-883-1598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MCQUILLAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "516-294-9696",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Arthur Lindner, PH.D.
• LNZ Nutrition LLC
• Frank Richard Loffredo, MD
• Jody A Lograsso, M.S.PT
• Long Island Hypertension and Nephrology, PLLC
• Long Island Surgical Specialist, P.C.
• Frances R Lopilato, RN
• Christopher Lorentzen, M.S., L.AC.
• Herbert Dennis Lovens, MSW
• LTC Provider Management Corp

• Oral and Maxillofacial Surgery (Dentist) in Port Washington, NY
• Providers in Port Washington, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.