Robin Shane Kozlowski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048983-1 Issued in NY

Practice address

146 Birch Hill Rd
Suite 200
Locust Valley, NY 11560-1833

Phone

(516) 671-7000

Fax

(516) 671-2000

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1740340348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 BIRCH HILL RD",
            "address_2": "SUITE 200",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601833",
            "telephone_number": "516-671-7000",
            "fax_number": "516-671-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 BIRCH HILL RD",
            "address_2": "SUITE 200",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601833",
            "telephone_number": "516-671-7000",
            "fax_number": "516-671-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "ROBIN",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048983-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jouvence LLC
• James Kalenderian, P.T.
• Teresa Kelly, LCSW-R
• Brandon Hoongyung Kim
• Samantha Kostopoulos, LMHC
• Kristen Whelan, LCSW P.C.
• Janine Marie Lawrence, REGISTERED NURSE
• Julia Leask, RD, CDN, MS
• Clara Lee, D.O.
• Jeryl Lehmuller, B.S.E.D

• General Practice Dentistry in Locust Valley, NY
• Providers in Locust Valley, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.