Endodontic Associates of Bayside, PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

032322 Issued in NY

Legal business name

ENDODONTIC ASSOCIATES OF BAYSIDE, PLLC

Practice address

58-47 Francis Lewis Blvd
Suite 12
Bayside, NY 11364-1601

Phone

(718) 224-4000

Fax

(718) 224-1921

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Panagopoulos

Title

Office Manager

Phone

(718) 224-4000

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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

• Stella M Carollo, DDS

  • Endodontics
  • Bayside, NY
  • NPI 1487812608
  NPD (past)
• Elaine G Rogers, DMD

  • Endodontics
  • Bayside, NY
  • NPI 1235126723
  NPD (past)

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1861642076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58-47 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 12",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-224-4000",
            "fax_number": "718-224-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58-47 FRANCIS LEWIS BLVD",
            "address_2": "SUITE 12",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113641601",
            "telephone_number": "718-224-4000",
            "fax_number": "718-224-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC ASSOCIATES OF BAYSIDE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "PANAGOPOULOS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-224-4000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "032322",
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "047274",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Optical Inc
• Drew Bennett Elmore, OTR
• Empire Ny Orthopedics PC
• Empower U Wellness Networks LLC
• Enabling Therapy OT LLC
• Deirdre Eng, TEACHER
• Jason T Ephraim, RN
• Donna Episcopio, RPH
• Caron Epstein, MA, CCC-SLP
• Julie Burroughs Erdman, LCSW

• Endodontics in Bayside, NY
• Providers in Bayside, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.