Slava Shapiro, DDS, MD , PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

049812 Issued in NY

Legal business name

SLAVA SHAPIRO, DDS, MD , PC

Practice address

167 Froehlich Farm Blvd
Woodbury, NY 11797-2906

Phone

(516) 677-9777

Fax

(516) 677-9778

NPI assigned

Jul 8, 2010

Organization subpart

No

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

Authorized official

Name

Slava Shapiro, DDS, MD

Title

Owner

Phone

(516) 677-9777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodbury Oral Surgery Doing business as

Locations

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1891007670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GREENWAY DR S",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913854",
            "telephone_number": "516-677-9777",
            "fax_number": "516-677-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 FROEHLICH FARM BLVD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972906",
            "telephone_number": "516-677-9777",
            "fax_number": "516-677-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLAVA SHAPIRO, DDS, MD , PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-08",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "SLAVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-677-9777",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "049812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003015926",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbury Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Simon
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• Jeffrey Alan Sklar, MD
• Neal Smith, MD
• Michelle Soloff
• Soltani Medical PC
• Maria Sommo, R.PH
• James Jiwon Song, PHARM.D.

• Oral and Maxillofacial Surgery (Dentist) in Woodbury, NY
• Providers in Woodbury, 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 Jul 8, 2010; 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.