Gold Coast Oral & Maxillofacial Surgery PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

GOLD COAST ORAL & MAXILLOFACIAL SURGERY PC

Practice address

55 Bryant Ave
Roslyn, NY 11576-1139

Phone

(516) 749-3000

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Steve Yusupov, DDS, MDNPI 1982991485

Title

Owner

Phone

(718) 593-5814

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steve Yusupov, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Roslyn, NY
  • NPI 1982991485
  NPD Authorized official

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1821738485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761139",
            "telephone_number": "516-749-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BRYANT AVE",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761139",
            "telephone_number": "516-749-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD COAST ORAL & MAXILLOFACIAL SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "YUSUPOV",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-593-5814",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doina Laura Glodan, MD
• Kimberly V Go, ANP
• Matthew Godlewski, PA-C
• Kavita Goel, M.D.
• Dmitry Goft, M.D.
• Elise Marni Gold, R.D
• Jacqueline Ann Gold, MSW
• Ira Goldberg, DMD
• Sanford R Goldberg, M.D.
• Robert Eugene Goldberger, M.D.

• Oral and Maxillofacial Surgery Clinic/Center in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Oral and Maxillofacial Surgery Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.