DR. PERRY JAY GOLDBERG (NPI# 1164595237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164595237 |
| Entity Type | Individual |
| Full Name | DR. PERRY JAY GOLDBERG |
| Credential | DDS |
| Practice Address |
175 Jericho Tpke Suite 115a Syosset NY 11791-4595 |
| Practice Telephone | 5163642550 |
| Practice Fax Number | 5163642551 |
| Mailing Telephone | 5163642550 |
| Mailing Fax Number | 5163642551 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
027523 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982723243 | Perry V. Goldberg | Dentist | 8305 Walnut Hill Ln, Suite #125, Dallas, TX 75231-4217 | 2007-03-28 |
| Street Address |
175 JERICHO TPKE SUITE 115A |
| City | SYOSSET |
| State | NY |
| Zip Code | 11791-4595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669472130 | Howard Heimowitz | Radiology | 175 Jericho Tpke, Suite 120, Syosset, NY 11791-4532 | 2005-07-27 |
| 1497247530 | 50 Oceana Pharmacy Corp. | Durable Medical Equipment & Medical Supplies | 175 Jericho Tpke, West Lobby Suite, Syosset, NY 11791-4532 | 2018-06-05 |
| 1467823443 | Medical Office of Fawzy Wasfy Salama Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 411, Syosset, NY 11791-4532 | 2015-10-15 |
| 1164806758 | Dr Greg Davies & Dr Sharone Stern | Podiatrist | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2015-07-14 |
| 1619367844 | Rehabilitation Associate of Li Physical Medicine Pllc | Physical Medicine & Rehabilitation | 175 Jericho Tpke, Syosset, NY 11791-4532 | 2015-01-26 |
| 1265821953 | Positive Change Psychiatry Pllc | Psychiatry & Neurology | 175 Jericho Tpke, Suite 301, Syosset, NY 11791-4532 | 2015-01-18 |
| 1710393459 | Nicole R Esposito | Speech-Language Pathologist | 175 Jericho Tpke, Suite 103, Syosset, NY 11791-4546 | 2014-07-02 |
| 1194135483 | Diabetes and Endocrine Care of Long Island Pllc | Internal Medicine | 175 Jericho Tpke, Suite 300, Syosset, NY 11791-4532 | 2014-05-07 |
| 1679918957 | Elliott Jay Dombroff | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-05-01 |
| 1588008346 | Celestino Marques Dossantos | Dentist | 175 Jericho Tpke, Suite 307a, Syosset, NY 11791-4532 | 2013-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1770118168 | Naomi Krikheli | Occupational Therapy Assistant | Cooper Kids Therapy Associates, 2 Roosevelt Ave Sute300, Syosset, NY 11791 | 2020-03-06 |
| 1912482266 | Angela Viviana Depompeis | Student in an Organized Health Care Education/Training Program | 6800 Jericho Turnpike Suite 120w, Syosset, NY 11791 | 2018-10-02 |
| 1063997104 | Stephen William Tozer | Specialist/Technologist | 70 South Woods Road, Syosset, NY 11791 | 2018-09-25 |
| 1295214682 | Cathy Lynn Singer | Nurse Practitioner | 575 Underhill Blvd Ste 210, Syosset, NY 11791 | 2018-08-07 |
| 1831628296 | Amanticia Joseph | Case Manager/Care Coordinator | 40 Oak Drive, Syosset, NY 11791 | 2017-06-08 |
| 1528500758 | James F Creamer | Chiropractor | 15 Beatrice Ave, Syosset, NY 11791 | 2016-11-04 |
| 1053868190 | Diana Eileen Marlow | Registered Nurse | 1597 Laurel Hollow Road, Syosset, NY 11791 | 2016-09-07 |
| 1346796695 | Emily Bregman | Specialist | 33 Picardy Lane, Laurel Hollow, NY 11791 | 2016-08-28 |
| 1962811364 | Leslie Juarez | Registered Nurse | 7 Market Drive, Syosset, NY 11791 | 2014-08-11 |
| Find all providers in zip 11791 | ||||
| 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 |
|---|---|---|---|---|
| 1063748432 | Nancy Ciminera | Dentist | 10 Sagamore Drive, Syosset, NY 11791 | 2009-10-20 |
| 1093946717 | Joel Silver | Dentist | 44 Barry Ln, Syosset, NY 11791-3834 | 2009-07-29 |
| 1811136922 | Stephen Akseizer Dds PC | Dentist | 43 Market Dr, Syosset, NY 11791-6917 | 2009-02-12 |
| 1003015926 | Slava Shapiro | Dentist | 118 Greenway Dr S, Syosset, NY 11791-3854 | 2007-07-11 |
| 1356547285 | David Alan Baratt | Dentist | 56 Terrehans Ln, Syosset, NY 11791-6335 | 2007-06-26 |
| 1700092848 | Kathy Boadway | Dentist | 99 Cold Spring Rd Ste 1, Syosset, NY 11791-3140 | 2007-05-15 |
| 1730208190 | Gary Mark Helman | Dentist | 54 Terrehans Ln, Syosset, NY 11791-6335 | 2007-03-28 |
| 1538213889 | Richard Jefffrey Kobak | Dentist | 590 Jericho Turnpike, Syosset, NY 11791 | 2007-01-23 |
| 1104982800 | Scott Kenneth Feryo | Dentist | 100 S Oyster Bay Rd, Syosset, NY 11791-5827 | 2006-12-28 |
| 1255490553 | Francine Paula Raxenberg | Dentist | 590 Jericho Tpke Fl 2, Syosset, NY 11791 | 2006-12-06 |
| Find all providers in SYOSSET | ||||
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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.