Long Island Oral and Maxillofacial Surgery Associates LLP

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP

Practice address

132 Terryville Rd
Port Jefferson Station, NY 11776-1372

Phone

(631) 473-6400

Fax

(631) 473-7297

NPI assigned

Jul 22, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mario Joseph Capuano, DDSNPI 1831199694

Title

Senior Partner

Phone

(631) 696-9752

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mario Joseph Capuano, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Selden, NY
  • NPI 1831199694
  Authorized official Same address or phone

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1801896667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 TERRYVILLE RD",
            "address_2": "P.O. BOX 222",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761372",
            "telephone_number": "631-473-6400",
            "fax_number": "631-473-7297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 TERRYVILLE RD",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117761372",
            "telephone_number": "631-473-6400",
            "fax_number": "631-473-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CAPUANO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "631-696-9752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "A100027760",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Llobell, COTA/L
• Jessica Loftus, LMHC
• Christopher E Loglia, LCSW, CASAC
• Debra Lograno Dazzo, LCSW
• Long Island Digestive Endoscopy Center, LLC
• Long Island Select Healthcare, Inc. (LISH, Inc.)
• Sarah Corliss Wheeler Long, PSY.D.
• Elizabeth Loper, M.S. CCC-SLP
• Danielle Lopez
• Julian Lopez

• Oral and Maxillofacial Surgery (Dentist) in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.