George N. Skevofilax, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

054022 Issued in NY

Practice address

469 Hawkins Ave
Lake Ronkonkoma, NY 11779-4276

Phone

(631) 588-8280

NPI assigned

May 6, 2009

Last updated

Jan 14, 2010By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1861626830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 HAWKINS AVE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794276",
            "telephone_number": "631-588-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 HAWKINS AVE",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117794276",
            "telephone_number": "631-588-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKEVOFILAX",
        "first_name": "GEORGE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Johanna Schoenhofen, M.S., CCC-SLP, TSSLD
• Rebecca Ann Schulz, OTR/L
• Yasmin Naida Shafique Ventura
• Caitlin Silverstein, LCSW
• Tara K Singh, MD
• Melissa Slesinski, MA, CCC-SLP
• Kathleen Smith, RN
• Tracey Lynn Smith, PT
• Francine V Sohl, REGISTERED NURSE
• Jennifer Shannon Stachel, DMD

• Dentist in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.