TOOTHTIMEDENTALSTUDIOPC (NPI# 1144568601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144568601 |
| Entity Type | Organization |
| Organization Name | TOOTHTIMEDENTALSTUDIOPC |
| Practice Address |
414 Jericho Tpke Suit #2 New Hyde Park NY 11040-4510 |
| Mailing Address |
Po Box 81 Albertson Albertson NY 11507-0081 |
| Practice Telephone | 5165198080 |
| Practice Fax Number | 5165198082 |
| Mailing Telephone | 5165198080 |
| Mailing Fax Number | 5165198082 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | SEJAL U SHAH (PRESIDENT) |
| Authorized Official Telephone | 5155198080 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers | ||
| N | 124Q00000X | Dental Hygienist | Dental Providers | ||
| N | 126800000X | Dental Assistant | Dental Providers | ||
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02145619 | 05 |
| Street Address |
414 JERICHO TPKE SUIT #2 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467662916 | Billy Singh | Acupuncturist | 414 Jericho Tpke, 2nd Floor/suite #1, New Hyde Park, NY 11040-4510 | 2007-05-23 |
| 1174864821 | Elizabeth Cyriac | Massage Therapist | 414 Jericho Tpke, Suite 1, 2nd Floor, New Hyde Park, NY 11040-4510 | 2013-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689113987 | Madelyn J Cohen | Dentist | 2001 Marcus Ave # 60, New Hyde Park, NY 11042-2061 | 2017-02-20 |
| 1750735320 | Harrison Dai | Dentist | 1300 Union Tpke Ste 208, New Hyde Park, NY 11040-1759 | 2016-04-19 |
| 1134507510 | Eric Witkie Brotman | Dentist | 1999 Marcus Ave Ste 110, New Hyde Park, NY 11042-1028 | 2015-05-18 |
| 1699182873 | Gregory Bangiyev | Dentist | 2001 Marcus Ave Ste W90, New Hyde Park, NY 11042-2045 | 2014-07-19 |
| 1760700173 | Frederick Walter Marion Sr. | Dentist | 1425 Park Ave, New Hyde Park, NY 11040 | 2010-05-10 |
| 1083931414 | Demetrius Filoukatjis | Dentist | 1 Hollow Ln Ste 108, New Hyde Park, NY 11042 | 2010-04-25 |
| 1992943732 | Sunita A. Mathew | Dentist | 2001 Marcus Ave Ste S60, New Hyde Park, NY 11042-1040 | 2009-02-02 |
| 1427207588 | Stanley Jacob | Dentist | 69 Nugent St, New Hyde Park, NY 11040-1959 | 2008-09-14 |
| 1841451952 | Pavel Krastev | Dentist | 812 Jericho Tpke, New Hyde Park, NY 11040-4514 | 2008-06-20 |
| 1407041635 | Mozhgan Kermanshahchi | Dentist | 1521 Jericho Tpk, New Hyde Park, NY 11040-4712 | 2007-09-11 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
Please comment or provide details below to improve the information on TOOTHTIMEDENTALSTUDIOPC.
| 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.