DR. LONG SU (NPI# 1003918723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003918723 |
| Entity Type | Individual |
| Full Name | DR. LONG SU |
| Credential | DDS |
| Practice Address |
254 Canal St Suite 4008 New York NY 10013-3501 |
| Mailing Address |
254 Canal Street, Room 4008 New York NY 10013-7841 |
| Practice Telephone | 2129663649 |
| Mailing Telephone | 2124894712 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-03-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 046375 | NY | Dental Providers |
| N | 122300000X | Dentist | D20421 | TX | Dental Providers |
| Street Address |
254 CANAL ST SUITE 4008 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10013-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346212081 | Fang Chang | Internal Medicine | 254 Canal St, New York, NY 10013-3501 | 2006-02-06 |
| 1538601729 | Diane Wong Dds Pllc | Dentist | 254 Canal St, Room 4008, New York, NY 10013-3501 | 2016-11-05 |
| 1831551316 | Fang Chang Physician P.C. | Internal Medicine | 254 Canal St, Suite 5003, New York, NY 10013-3501 | 2016-03-24 |
| 1871932517 | Nan Senior Daycare Center Inc | Clinic/Center | 254 Canal St, Suite 3005, New York, NY 10013-3501 | 2013-06-16 |
| 1881949881 | Jin Fu | Acupuncturist | 254 Canal St, #4008-8, New York, NY 10013-3501 | 2012-07-17 |
| 1619265998 | The Light Medical, PC | Specialist | 254 Canal St, Suite 5001, New York, NY 10013-3501 | 2011-07-20 |
| 1083911440 | Warren W. Chin, Md, PC | Clinic/Center | 254 Canal St, Suite 3002, New York, NY 10013-3501 | 2011-02-22 |
| 1477889913 | Aiping Zhang | Acupuncturist | 254 Canal St, 2fl Suite 2006, New York, NY 10013-3501 | 2009-10-18 |
| 1740433325 | Marcus H Loo Md LLC | Specialist | 254 Canal St, Suite 3001, New York, NY 10013-3501 | 2008-10-28 |
| 1730356643 | Jonathan Ko Md Pllc | Anesthesiology | 254 Canal St, Suite 5001, New York, NY 10013-3501 | 2008-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1083249411 | Phoebe Richman | Social Worker | 121 Ave of The Americas, New York, NY 10013 | 2020-03-05 |
| 1366087868 | Kelsey C Sjolund | Speech-Language Pathologist | Speak Out New York, 100 Reade Street C/o Gymboree, Tribeca, NY 10013 | 2019-11-08 |
| 1720560717 | Julia I Pema Dolma Gutman | Social Worker | 85 Bayard St, Suite 4, New York, NY 10013 | 2018-09-05 |
| 1881187169 | Markus Burrell | Social Worker | 350 Canal St # 574p, New York, NY 10013 | 2018-06-11 |
| 1659879799 | Shui-fong Chong | Acupuncturist | 139 Centre Street, Suite 315, New York, NY 10013 | 2018-01-23 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1528570397 | Lauren Haythe | Acupuncturist | 481 Broadway, Suite 3, Manhattan, NY 10013 | 2017-11-01 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| Find all providers in zip 10013 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938551 | Steven Kauftheil Dds Pllc | Dentist | 630 5th Ave Ste 1815, New York, NY 10111-1872 | 2020-10-08 |
| 1104436690 | Maryam Ghorbani | Dentist | 40 Waterside Plz Apt 12b, New York, NY 10010-2636 | 2020-08-09 |
| 1649896416 | Adam M Nusblatt, Dmd PC | Dentist | 60 E 9th St Apt 206, New York, NY 10003-6403 | 2020-06-17 |
| 1265076186 | Om Dental Arts, Pllc | Dentist | 405 Lexington Ave Fl 54, New York, NY 10174-0002 | 2019-11-04 |
| 1497399877 | Dr. F Sanchez Dental Arts Pllc | Dentist | 2 Saint Nicholas Terrace, Store #1, New York, NY 10027 | 2019-10-29 |
| 1922640911 | Suite 229 Dental Pllc | Dentist | 150 Broadway Rm 1310, New York, NY 10038-4365 | 2019-10-11 |
| 1952950123 | Lumia Dental, Pllc | Dentist | 160 Broadway Rm 1004, New York, NY 10038-4213 | 2019-09-10 |
| 1013560838 | Julie Bai | Dentist | 139 Centre St Ste 306, New York, NY 10013-4554 | 2019-07-21 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1396301503 | Daria Vasilyeva | Dentist | 625 W 169th St Apt 51a, New York, NY 10032-0489 | 2019-05-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.