Active NPI
Tonya N. Bellamy-Bissoon, DDS
- Dentist
- Mineola, NY
National Provider Identifier
1932649274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 060052
- Practice address
- 200 Old Country Rd Ste 460
Mineola, NY 11501-4293 - Phone
- (516) 663-1152
- NPI assigned
- Mar 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 060052 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dentist | 122300000X | 060052 | NY | Primary |
Addresses
Primary practice location
200 Old Country Rd Ste 460
Mineola, NY 11501-4293
Mailing address
200 Old Country Rd Ste 460
Mineola, NY 11501-4293
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 12, 2023 through Jun 12, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 060052 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 400 Post Dental, PC | General Practice | Current | Accepting new patients |
Locations
400 Post Ave
Ste 103
Westbury, NY 11590
Phone (516) 515-1041
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.
-
- General Practice Dentistry
- Westbury, NY
- NPI 1578258067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1932649274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OLD COUNTRY RD STE 460",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 OLD COUNTRY RD STE 460",
"city": "MINEOLA",
"state": "NY",
"postal_code": "115014293",
"telephone_number": "516-663-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLAMY-BISSOON",
"first_name": "TONYA",
"middle_name": "N.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-06",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "060052",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "060052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.