DR. JAY WILLIAM BRIDBORD (NPI# 1235122821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235122821 |
| Entity Type | Individual |
| Full Name | DR. JAY WILLIAM BRIDBORD |
| Credential | D.D.S. |
| Practice Address |
2110 Northern Blvd Manhasset NY 11030-3502 |
| Mailing Address |
65 Cooper Dr Great Neck NY 11023-1908 |
| Practice Telephone | 5166277640 |
| Practice Fax Number | 5166271211 |
| Mailing Telephone | 5166277640 |
| Mailing Fax Number | 5166271211 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30000 | NY | Dental Providers |
| Street Address |
2110 NORTHERN BLVD |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932579869 | Manhasset Dental, P.C. | Dentist | 2110 Northern Blvd, Suite 206, Manhasset, NY 11030-3502 | 2015-10-05 |
| 1205084662 | Frank Joseph Tuminelli | Dentist | 2110 Northern Blvd, Suite 207, Manhasset, NY 11030-3502 | 2008-08-28 |
| 1366601395 | East Coast Fertility, P.C. | Obstetrics & Gynecology | 2110 Northern Blvd, Suite 202, Manhasset, NY 11030-3502 | 2008-06-05 |
| 1740454032 | Eunice Lee | Ophthalmology | 2110 Northern Blvd, Suite 208, Manhasset, NY 11030-3539 | 2008-04-17 |
| 1326254418 | Ted Korin | Dentist | 2110 Northern Blvd, Suite 207, Manhasset, NY 11030-3502 | 2007-05-15 |
| 1124147590 | Kenneth Robert Schneider | Dentist | 2110 Northern Blvd, Suite 203, Manhasset, NY 11030-3502 | 2007-03-28 |
| 1699892976 | Long Island Eye Surgeons, PC | Durable Medical Equipment & Medical Supplies | 2110 Northern Blvd, Suite 208, Manhasset, NY 11030-3502 | 2007-03-23 |
| 1972637940 | Robert Paul Polowczyk | Dentist | 2110 Northern Blvd, Suite 203, Manhasset, NY 11030-3502 | 2007-03-14 |
| 1780786517 | Pedram Hendizadeh | Podiatrist | 2110 Northern Blvd, Manhasset, NY 11030-3502 | 2006-09-02 |
| 1053334839 | Katherine Soroya Meshkati | Dentist | 2110 Northern Blvd, Suite #206, Manhasset, NY 11030-3502 | 2006-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921643 | Upper West Side Oral & Maxillofacial Surgery | Dentist | 140 W 69th St Ph 1g, New York, NY 10023-5173 | 2020-08-07 |
| 1467092965 | Nyc Implant and Oral Surgery PC | Dentist | 30 E 60th St Ste 907, New York, NY 10022-1058 | 2020-01-13 |
| 1235777566 | Asnis Dental Pllc | Dentist | 800 Woodbury Rd Ste C, Woodbury, NY 11797-2503 | 2019-12-17 |
| 1700420429 | Chavkin Oral and Maxillofacial Surgery LLC | Dentist | 414 Jericho Tpke Ste 2, New Hyde Park, NY 11040-4510 | 2019-11-06 |
| 1730737545 | Southwoods Boulevard Dental, P.C. | Dentist | 7 Southwoods Blvd Ste 1, Albany, NY 12211-2526 | 2019-08-27 |
| 1750947792 | Eduard Munarov Dds PC | Dentist | 449 N State Rd Ste 102, Briarcliff Manor, NY 10510-1478 | 2019-05-15 |
| 1598227530 | Asnis Dental Pllc | Dentist | 250 Patchogue Yaphank Rd Ste 10, East Patchogue, NY 11772-4862 | 2019-04-01 |
| 1720545387 | Asnis Dental, Pllc | Dentist | 260 Middle Country Rd Ste 12, Selden, NY 11784-2570 | 2019-03-01 |
| 1205344819 | Ray Cheng Dds | Dentist | 217 Park Row Ste 4b, New York, NY 10038-1101 | 2018-01-17 |
| 1871006064 | Ny Oral and Maxillofacial Surgeon, PC | Dentist | 2844 Ocean Pkwy Ste B2, Brooklyn, NY 11235-7904 | 2017-11-09 |
| Find all providers with the same taxonomy | ||||
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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.