Long Island Ambulatory for Oral and Maxillofacial Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

LONG ISLAND AMBULATORY FOR ORAL AND MAXILLOFACIAL SURGERY, PC

Practice address

134 Mineola Blvd FL 3
Mineola, NY 11501-3959

Phone

(516) 294-9696

Fax

(516) 294-3531

NPI assigned

Jul 6, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Alex Meneshian, DDS, MD

Title

Partner

Phone

(516) 294-9696

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1831822923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MINEOLA BLVD FL 3",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013959",
            "telephone_number": "516-294-9696",
            "fax_number": "516-294-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MINEOLA BLVD FL 3",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013959",
            "telephone_number": "516-294-9696",
            "fax_number": "516-294-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND AMBULATORY FOR ORAL AND MAXILLOFACIAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "MENESHIAN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "516-294-9696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanna Lofgren
• Emily Logan, AGPCNP-BC
• Jessica Loiodice, DO
• Louis Loiodice, MD
• Jennifer M Lombardo, PA
• Long Island Council on Alcoholism and Drug Dependence
• Long Island Oral & Maxillofacial Surgery, PC
• Long Island Women'S Health Care Group, PC
• Melanie Lopez-Humann, RPAC
• Ana Lopez, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Mineola, NY
• Providers in Mineola, 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 6, 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.