Individual provider Active NPI

Elana Y Sittner, DDS

  • General Practice Dentistry
  • Oceanside, NY
National Provider Identifier
1710217088
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
051332 Issued in NY
Practice address
3159 Oceanside Rd
Oceanside, NY 11572-4248
Phone
(516) 764-3461
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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 051332 NY Primary

Addresses

Primary practice location

3159 Oceanside Rd
Oceanside, NY 11572-4248

Mailing address

335 Hicksville Rd
Far Rockaway, NY 11691-5408
Phone (718) 327-1208

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
I20160125001436 NY Order and Referring Only - DentistPractitioner - Dentist 3173826203

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1710217088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 HICKSVILLE RD",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915408",
            "telephone_number": "718-327-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3159 OCEANSIDE RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115724248",
            "telephone_number": "516-764-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTNER",
        "first_name": "ELANA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.