North Shore Oral Maxillofacial Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

021197 Issued in NY

Legal business name

NORTH SHORE ORAL MAXILLOFACIAL SURGERY, PC

Practice address

901 Old Country Rd
Plainview, NY 11803-4956

Phone

(516) 681-5330

Fax

(516) 681-9315

NPI assigned

Oct 9, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Valerie M Uvino

Title

Ofiice Manager

Phone

(516) 681-5330

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

Practitioners 1

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

• Jules H Roberts, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Plainview, NY
  • NPI 1578667788
  Medicare reassignment NPD

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

{
    "created_epoch": "1255046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255046400000",
    "number": "1861727786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034956",
            "telephone_number": "516-681-5330",
            "fax_number": "516-681-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034956",
            "telephone_number": "516-681-5330",
            "fax_number": "516-681-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE ORAL MAXILLOFACIAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-09",
        "last_updated": "2009-10-09",
        "status": "A",
        "authorized_official_last_name": "UVINO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFIICE MANAGER",
        "authorized_official_telephone_number": "516-681-5330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "021197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Nordone
• Diana Normatov, SPECIAL EDUCATION
• North Coast Anesthesia LLC
• North Shore Emergency Medicine at Plainview
• North Shore Health System Plainview
• North Shore University Hospital at Plainview
• Northshore Lij Health System
• Samrah Nourin, PHARM.D.
• Kristie Nowak, MASTERS DEGREE
• Nsuh @ Plainview Psychiatric Unit

• Oral and Maxillofacial Surgery (Dentist) in Plainview, NY
• Providers in Plainview, 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 Oct 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.