Individual provider Active NPI

Raymond Duong, DMD

  • Pediatric Dentistry
  • Manhasset, NY
National Provider Identifier
1730606781
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
060559 Issued in NY
Practice address
16 Park Ave
Manhasset, NY 11030-2442
Phone
(516) 472-7575
NPI assigned
Aug 29, 2017
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DDS107353 CA
Pediatric Dentistry 1223P0221X 060559 NY Primary
Pediatric Dentistry 1223P0221X 22DI02999800 NJ

Addresses

Primary practice location

16 Park Ave
Manhasset, NY 11030-2442

Mailing address

560 79TH St
Brooklyn, NY 11209-3710
Phone (917) 337-0401

Other practice location 1

385 Prospect Ave Ste 304
Hackensack, NJ 07601
Phone (201) 425-9580

Other practice location 2

7815 5th Ave
Brooklyn, NY 11209-3703
Phone (718) 530-0418

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

State licenses

LicenseStateTypeSpecialty
DDS107353CAMDPediatric Dentist
22DI02999800NJMDPediatric Dentist
060559NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Manhasset Dental Arts CurrentSince Feb 23, 2025 Accepting new patients
5TH Avenue Dentistry and Implants, PLLC CurrentSince Feb 23, 2025 Accepting new patients
5TH Avenue Dental Assoc LLP PastSince Aug 1, 2020 Accepting new patients

Locations

7815 5th Ave
Brooklyn, NY 11209
Phone (718) 530-0418

16 Park Ave
Manhasset, NY 11030
Phone (516) 472-7575

Interoperability endpoints

  • Direct secure messaging: raymond.duong.p1@direct.ezramedical.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1730606781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 79TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093710",
            "telephone_number": "917-337-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 PARK AVE",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110302442",
            "telephone_number": "516-472-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "385 Prospect Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "07601",
            "country_code": "US",
            "telephone_number": "201-425-9580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7815 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112093703",
            "country_code": "US",
            "telephone_number": "718-530-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "DDS107353",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "060559",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NJ",
            "license": "22DI02999800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.