Active NPI
Charles S. Handelman, D.M.D.
- General Practice Dentistry
- Deer Park, NY
National Provider Identifier
1730217126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 046164
- Practice address
- 1681 Deer Park Ave
Deer Park, NY 11729-5204 - Phone
- (631) 586-0555
- Fax
- (631) 586-0510
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 046164 | NY | Primary |
Addresses
Primary practice location
1681 Deer Park Ave
Deer Park, NY 11729-5204
Mailing address
1681 Deer Park Ave
Deer Park, NY 11729-5204
Phone (631) 586-0555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles S. Handelman, D.M.D., P.C. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Deer Park, NY
- NPI 1992920391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730217126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1681 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117295204",
"telephone_number": "631-586-0555",
"fax_number": "631-586-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1681 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117295204",
"telephone_number": "631-586-0555",
"fax_number": "631-586-0510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANDELMAN",
"first_name": "CHARLES",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "046164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.