Justin A Hendi, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

055025 Issued in NY

Practice address

84 Route 59
Suffern, NY 10901-4910

Phone

(845) 357-2070

Fax

(845) 357-2144

NPI assigned

Feb 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shannon & Hunter PC

  dba Northeast Oral Surgery & Dental Implant Center

  • Oral and Maxillofacial Surgery (Dentist)
  • North Andovor, MA
  • NPI 1295841757
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383523200000",
    "number": "1962670349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014910",
            "telephone_number": "845-357-2070",
            "fax_number": "845-357-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 ROUTE 59",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014910",
            "telephone_number": "845-357-2070",
            "fax_number": "845-357-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDI",
        "first_name": "JUSTIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2013-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "256404",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "055025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldine Hayes, RN
• Hearts Enteral LLC
• Lisa Heintz, RN
• Sandra Heller, CNM
• Ramell Hemmings Love, LPN
• Susan Hengel, RN
• Her Health Midwifery PLLC
• Herbert a. Huss, M.D., P.C.
• Dorit G Hermann, DMD
• Angelica Hernandez, RN

• Oral and Maxillofacial Surgery (Dentist) in Suffern, NY
• Providers in Suffern, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.