Organization Active NPI

Nadav Segal D.D.S., P.C

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Stony Brook, NY
National Provider Identifier
1881966604
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
052525 Issued in NY
Legal business name
NADAV SEGAL D.D.S., P.C
Practice address
2500 Nesconset Hwy
Building 4B
Stony Brook, NY 11790-2555
Phone
(631) 675-2700
Fax
(631) 675-2700
NPI assigned
Feb 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Dr. Nadav Segal, D.D.S
Title
Doctor
Phone
(631) 675-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 052525 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy
Building 4B
Stony Brook, NY 11790-2555

Mailing address

2500 Nesconset Hwy
Building 4B
Stony Brook, NY 11790-2555
Phone (631) 675-2700

Other names 1

  • Stony Brook Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Nesconset Hwy
Bldg 4B
Stony Brook, NY 11790
Phone (631) 244-8933

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1881966604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 4B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-675-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 4B",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-675-2700",
            "fax_number": "631-675-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADAV SEGAL D.D.S., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "SEGAL",
        "authorized_official_first_name": "NADAV",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "631-675-2700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "052525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stony Brook Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.