DR. SARA JANE SKURNICK (NPI# 1184712853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184712853 |
| Entity Type | Individual |
| Full Name | DR. SARA JANE SKURNICK |
| Credential | DMD |
| Practice Address |
195 Bridgetown Street Staten Island Pediatric Dental Staten Island NY 10314-6006 |
| Mailing Address |
2533 86 Street Brooklyn NY 11214 |
| Practice Telephone | 7187617316 |
| Mailing Telephone | 7183720009 |
| Mailing Fax Number | 7183720010 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
040614-1 | NY | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
22D10577400 | NJ | Dental Providers |
| Street Address |
195 BRIDGETOWN STREET STATEN ISLAND PEDIATRIC DENTAL |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-6006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265913693 | Ortho Smiles of Staten Island PC | Dentist | 2791 Richmond Ave Ste 202, Staten Island, NY 10314-5859 | 2018-08-23 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| 1518231588 | Dr. John Graziano Dds. | Dentist | 60 Cromwell Ave, Staten Island, NY 10304 | 2012-03-08 |
| 1871791616 | Eugene Stanley Mosiello | Dentist | 3102 Hylan Blvd, Staten Island, NY 10306 | 2007-07-03 |
| 1225245145 | East Rutherford Orthodontics | Dentist | 7521 Amboy Rd, Staten Island, NY 10307-1429 | 2007-05-17 |
| 1326253386 | Salvatore Rosario Indelicato | Dentist | 932 Woodrow Rd, Staten Island, NY 10312-2224 | 2007-05-13 |
| 1104046069 | Joseph Thomas Lamendella | Dentist | 1235 Richmond Ave, Staten Island, NY 10314-7433 | 2007-04-25 |
| 1871710582 | Ralph Gregory Attanasi | Dentist | 821 Clove Rd, Staten Island, NY 10310-2741 | 2007-04-20 |
| 1568540540 | Susan Roubicek | Dentist | 739 Woodrow Rd, Staten Island, NY 10312 | 2006-11-01 |
| 1447261508 | Saccaro - Saccaro | Dentist | 81 Wyona Ave, Staten Island, NY 10314-1847 | 2006-08-11 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
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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.