Active NPI
Jay Matthew Neugarten, D.D.S., M.D.
- Oral & Maxillofacial Surgery (D.M.D.)
- Lake Success, NY
National Provider Identifier
1922062728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 2183387
- Practice address
- 2001 Marcus Ave
Ste. N-10
Lake Success, NY 11042-1011 - Phone
- (516) 775-1818
- Fax
- (516) 775-0892
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 046690 | NY | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 046690 | NY | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 2183387 | NY | Primary |
| Specialist | 174400000X | 218337 | NY |
Addresses
Primary practice location
2001 Marcus Ave
Ste. N-10
Lake Success, NY 11042-1011
Mailing address
2001 Marcus Ave
Ste. N-10
Lake Success, NY 11042-1011
Phone (516) 775-1818
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02212444 | Medicaid | NY | |
| 02238062 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Marcus Ave
Suite N10
New Hyde Park, NY 11042-2048
Phone (516) 775-1818
Hospital & facility affiliations
- New York-Presbyterian Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046690 | NY | MD | Oral & Maxillofacial Surgery (D.M.D.) |
| 2183387 | NY | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| Oms New York Oral Surgery PC | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Interoperability endpoints
- jmn9009@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 3
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- New Hyde Park, NY
- NPI 1699782219
-
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
- NPI 1982323036
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1922062728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE",
"address_2": "STE. N-10",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "110421011",
"telephone_number": "516-775-1818",
"fax_number": "516-775-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 MARCUS AVE",
"address_2": "STE. N-10",
"city": "LAKE SUCCESS",
"state": "NY",
"postal_code": "110421011",
"telephone_number": "516-775-1818",
"fax_number": "516-775-0892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEUGARTEN",
"first_name": "JAY",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.D.S., M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NY",
"license": "046690",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "046690",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "NY",
"license": "2183387",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "218337",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02212444",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02238062",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Success, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.