East Main Street Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EAST MAIN STREET DENTAL PC

Practice address

268 E Main St
East Islip, NY 11730

Phone

(631) 581-2288

Fax

(631) 581-2670

NPI assigned

Jun 3, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Mahadeo Rambarran, DDSNPI 1124029046

Title

President/Dentist

Phone

(631) 581-2288

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mahadeo Rambarran, D.D.S.

  • General Practice Dentistry
  • East Islip, NY
  • NPI 1124029046
  NPD (past) Authorized official
• Allen Joseph Pintoff, DDS

  • General Practice Dentistry
  • East Islip, NY
  • NPI 1013906338
  NPD (past)

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559520000000",
    "number": "1962060137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "11730",
            "telephone_number": "631-581-2288",
            "fax_number": "631-581-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "11730",
            "telephone_number": "631-581-2288",
            "fax_number": "631-581-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MAIN STREET DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A",
        "authorized_official_last_name": "RAMBARRAN",
        "authorized_official_first_name": "MAHADEO",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "631-581-2288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Drywa
• Deyon Durante-Fuentes, RN, BSN
• East Islip Pharmacy Inc
• East Islip Physical Therapy and Rehabilitation PC
• East Islip School District
• Audrey L. Eisenstadt, MD
• Alyssa Michele Ercolino
• Exchange Ambulance Corporation of the Islips
• Karen Gail Fagioli, LMSW
• Tzanwei Fang, M.D.

• Dental Clinic/Center in East Islip, NY
• Providers in East Islip, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.