Individual provider Active NPI

Laura A Zanelli, DMD

  • General Practice Dentistry
  • Melville, NY
National Provider Identifier
1902994569
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046213 Issued in NY
Practice address
900 Walt Whitman Rd
Suite 105
Melville, NY 11747-2293
Phone
(631) 271-9199
Fax
(631) 271-9108
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 046213 NY Primary

Addresses

Primary practice location

900 Walt Whitman Rd
Suite 105
Melville, NY 11747-2293

Mailing address

900 Walt Whitman Rd
Suite 105
Melville, NY 11747-2293
Phone (631) 271-9199

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
I20150713000850 NY Order and Referring Only - DentistPractitioner - Dentist 5597077073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046213NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Family Dental, PC General Practice PastSince Jan 8, 2016 Accepting new patients

Organizations & group practices 1

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902994569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD",
            "address_2": "SUITE 105",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472293",
            "telephone_number": "631-271-9199",
            "fax_number": "631-271-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WALT WHITMAN RD",
            "address_2": "SUITE 105",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472293",
            "telephone_number": "631-271-9199",
            "fax_number": "631-271-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANELLI",
        "first_name": "LAURA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melville, NY

Sources for this page

Verify at the official NPI Registry.