Long Island Dental Implant Associates

Primary specialty

DentistTaxonomy code 122300000X

License

055084 Issued in NY

Legal business name

LONG ISLAND DENTAL IMPLANT ASSOCIATES

Practice address

648 Route 25a
Rocky Point, NY 11778-8761

Phone

(631) 744-5700

NPI assigned

Sep 23, 2014

Last updated

May 17, 2024By 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. Elliot Koschitzki, DDSNPI 1619106291

Title

Partner

Phone

(631) 744-5700

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Elliot Koschitzki, DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1619106291
  NPD Authorized official
• Nachum Augenbaum, D.D.S

  • General Practice Dentistry
  • Rocky Point, NY
  • NPI 1679708341
  NPD
• Craig L Leshinger, D.M.D

  • Dentist
  • Rocky Point, NY
  • NPI 1508045071
  NPD (past)

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1851793707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788761",
            "telephone_number": "631-744-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788761",
            "telephone_number": "631-744-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Livingston St",
            "address_purpose": "LOCATION",
            "city": "Huntington Station",
            "state": "NY",
            "postal_code": "117464026",
            "country_code": "US",
            "telephone_number": "631-423-6563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG ISLAND DENTAL IMPLANT ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "KOSCHITZKI",
        "authorized_official_first_name": "ELLIOT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-744-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta Millrod Leonard, M.S.CCC/LSP
• Craig L Leshinger, D.M.D
• Lauren Nicole Leyva, MSW
• Suzanne Logue, LCSW
• Long Island Anesthesia Physicians LLP
• Karen J Lukasz, RN
• Cheryl R Lynch, OT/L
• Alison M Maletta, CRNA
• Lisa Malinowski, LPN
• Krysti Maloney, M.S., CCC-SLP

• Dentist in Rocky Point, NY
• Providers in Rocky Point, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.