ORAL AND IMPLANT SURGERY OF MANHATTAN, PLLC (NPI# 1063802627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063802627 |
| Entity Type | Organization |
| Organization Name | ORAL AND IMPLANT SURGERY OF MANHATTAN, PLLC |
| Other Organization Name | INFINITY ORAL SURGERY |
| Practice Address |
18 E 48th St Suite 1502 New York NY 10017-1014 |
| Mailing Address |
455 W 23rd St Apt. 17ab New York NY 10011-2148 |
| Practice Telephone | 2127528600 |
| Practice Fax Number | 2036610155 |
| Mailing Telephone | 2127528600 |
| Mailing Fax Number | 2036610155 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Authorized Official Name | DR. MICHELE SHOSHANA BERGEN (SOLE MEMBER) |
| Authorized Official Telephone | 2127528600 |
| Authorized Official Credential | DMD, MD, FACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 231685 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Infinity Oral Surgery | Doing Business As Name - Organization |
| Street Address |
18 E 48TH ST SUITE 1502 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10017-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396708525 | Adam T. Hershkin | Dentist | 18 E 48th St, Suite 1502, New York, NY 10017-1014 | 2006-04-10 |
| 1942847074 | Jacqueline Lilith Siegal | Social Worker | 18 E 48th St, New York, NY 10017-1014 | 2019-12-09 |
| 1366007783 | Jill Sammak | Social Worker | 18 E 48th St, New York, NY 10017-1014 | 2019-05-01 |
| 1255700225 | Daniel Jong Hyun Yoo | Physical Therapist | 18 E 48th St, Suite 802, New York, NY 10017-1014 | 2015-09-21 |
| 1548605801 | Kara Jill Gulewicz | Psychiatry & Neurology | 18 E 48th St, New York, NY 10017-1014 | 2013-05-01 |
| 1659667533 | Patrick Kevin Lyons | Physical Therapist | 18 E 48th St, Suite 802, New York, NY 10017-1014 | 2011-06-20 |
| 1649574047 | Lee E Scantalides | Physical Therapist | 18 E 48th St, Suite 802, New York, NY 10017-1014 | 2010-12-29 |
| 1346541018 | Dana Torregiano | Occupational Therapist | 18 E 48th St, Suite 801, New York, NY 10017-1014 | 2010-11-10 |
| 1174843171 | Emily Cordelia Elliott | Psychiatry & Neurology | 18 E 48th St, Suite 1301-b, New York, NY 10017-1014 | 2010-06-02 |
| 1639492515 | Executive Medical Services PC | Clinic/Center | 18 E 48th St, 2nd Floor, New York, NY 10017-1014 | 2010-03-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700424702 | Amanda Arielle Grannum | Social Worker | 227 E 41st Street, New York, NY 10017 | 2019-12-20 |
| 1205399748 | Jasmine Marie Williams | Social Worker | Comprehensive Therapeutic Services, 450 Lexington Ave, Fourth Floor, New York, NY 10017 | 2019-04-11 |
| 1093208415 | Kaylin Salubro | Nurse Practitioner | 18 E 41st St Fl 12, New York, NY 10017 | 2018-06-11 |
| 1932698792 | Bryan Cordes | Social Worker | 295 Madison Avenue, Suite 707, New York, NY 10017 | 2018-05-08 |
| 1376048173 | Matthew Bernstein, M.d. Pllc | Psychiatry & Neurology | 370 Lexington Avenue, Suite 1001, New York, NY 10017 | 2018-03-26 |
| 1285137430 | Midtown East Podiatry and Foot Surgery L.L.C. | Podiatrist | 230 E 48th St., #1b, New York, NY 10017 | 2018-03-14 |
| 1831692136 | Olga S Pankiv | Nurse Practitioner | 545 5th Avenue Suite 817, 545 5th Avenue Suite 817, New York, NY 10017 | 2018-03-13 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1962912154 | Yonatan Moshe Sobin | Psychologist | 370 Lexington Ave Rm 1000, New York, NY 10017 | 2017-10-03 |
| 1558880344 | Jendayi Polite | Counselor | 100 Park Ave Fl 16, New York, NY 10017 | 2017-09-13 |
| Find all providers in zip 10017 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528444601 | Mohsin Wazir | Oral & Maxillofacial Surgery | 355 E 73rd St, Apt 3a, New York, NY 10021-3766 | 2015-07-30 |
| 1891920575 | Jay D Kim | Oral & Maxillofacial Surgery | 119 W 57th St Ste 914, New York, NY 10019-2401 | 2009-05-25 |
| 1073690137 | Jeffrey Richard Burkes | Oral & Maxillofacial Surgery | 140 East 56th Street, New York, NY 10022 | 2006-11-01 |
| 1336249739 | Oral Surgery, Mt. Sinai School of Medicine | Oral & Maxillofacial Surgery | 1 Gustave L. Levy Place, Box 1187, New York, NY 11209 | 2006-09-25 |
| 1093707036 | Seth Martin Black | Oral & Maxillofacial Surgery | 521 Park Ave, New York, NY 10065-8140 | 2005-08-16 |
| 1912405184 | Paul R. Calat PC | Oral & Maxillofacial Surgery | 12 E 41st St, New York, NY 10017-6221 | 2018-01-23 |
| 1619354347 | Andrea Torroni | Oral & Maxillofacial Surgery | 462 First Avenue Bellevue Hospital Center, Department of Oral and Maxillofacial Surgery 5519, New York, NY 10016 | 2015-05-01 |
| 1508266347 | Trustees of Columbia University In The City of New York | Oral & Maxillofacial Surgery | 622 W 168th St, New York, NY 10032 | 2014-08-29 |
| 1285880427 | Park Avenue Periodontal Prosthesis Obs Facility | Oral & Maxillofacial Surgery | 563 Park Ave, New York, NY 10065-7314 | 2008-08-07 |
| 1235329046 | Yan Trokel | Oral & Maxillofacial Surgery | 61 E 66th St, New York, NY 10065-6114 | 2007-07-27 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on ORAL AND IMPLANT SURGERY OF MANHATTAN, PLLC.
| 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.