Active NPI
Raymond Duong, DMD
- Pediatric Dentistry
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 060559
- Practice address
- 16 Park Ave
Manhasset, NY 11030-2442 - Phone
- (516) 472-7575
- NPI assigned
- Aug 29, 2017
- Last updated
- Mar 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS107353 | CA | MD | Pediatric Dentist |
| 22DI02999800 | NJ | MD | Pediatric Dentist |
| 060559 | NY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manhasset Dental Arts | Current | Accepting new patients | |
| 5TH Avenue Dentistry and Implants, PLLC | Current | Accepting new patients | |
| 5TH Avenue Dental Assoc LLP | Past | 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
- 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.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1962208215
-
- General Practice Dentistry
- Manhasset, NY
- NPI 1942720503
-
- Dentist
- Brooklyn, NY
- NPI 1184742298
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.