Organization Active NPI

Charles S. Handelman, D.M.D., P.C.

  • General Practice Dentistry
  • Deer Park, NY
National Provider Identifier
1992920391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046164 Issued in NY
Legal business name
CHARLES S. HANDELMAN, D.M.D., P.C.
Practice address
1681 Deer Park Ave
Deer Park, NY 11729-5204
Phone
(631) 586-0555
Fax
(631) 586-0510
NPI assigned
Apr 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles S. Handelman, DMDNPI 1730217126
Title
Dentist
Phone
(631) 586-0555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 046164 NY Primary

Addresses

Primary practice location

1681 Deer Park Ave
Deer Park, NY 11729-5204

Mailing address

1681 Deer Park Ave
Deer Park, NY 11729-5204
Phone (631) 586-0555

National Provider Directory

National Provider Directory

Locations

1681 Deer Park Ave
Deer Park, NY 11729
Phone (631) 586-0555

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992920391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295204",
            "telephone_number": "631-586-0555",
            "fax_number": "631-586-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117295204",
            "telephone_number": "631-586-0555",
            "fax_number": "631-586-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES S. HANDELMAN, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HANDELMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-586-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.