Individual provider Active NPI

Steven M Zove, DDS

  • Periodontics
  • East Setauket, NY
National Provider Identifier
1902929706
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
037782-1 Issued in NY
Practice address
3400 Nesconset Hwy
Suite 109
East Setauket, NY 11733-3327
Phone
(631) 751-6700
Fax
(631) 751-1124
NPI assigned
Apr 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 037782-1 NY Primary

Addresses

Primary practice location

3400 Nesconset Hwy
Suite 109
East Setauket, NY 11733-3327

Mailing address

Rockland HL
Suite 109
Stony Brook, NY 11794-8705
Phone (631) 632-3101

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181115000870 NY Practitioner - Oral Surgery 6002114865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Sep 23, 2018 Accepting new patients
State of New York Comptrollers Office CurrentSince Sep 23, 2018 Accepting new patients

Locations

100 Nicolls Rd
#184D
Stony Brook, NY 11794
Phone (631) 632-8966

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1902929706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ROCKLAND HL",
            "address_2": "SUITE 109",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948705",
            "telephone_number": "631-632-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 NESCONSET HWY",
            "address_2": "SUITE 109",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333327",
            "telephone_number": "631-751-6700",
            "fax_number": "631-751-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOVE",
        "first_name": "STEVEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-08",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "037782-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.