BAYSIDE ORTHODONTICS PLLC (NPI# 1538770672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538770672 |
| Entity Type | Organization |
| Organization Name | BAYSIDE ORTHODONTICS PLLC |
| Practice Address |
208-54 Cross Island Parkway Bayside NY 11360 |
| Practice Telephone | 7186310508 |
| Practice Fax Number | 7186310509 |
| Mailing Telephone | 7186310508 |
| Mailing Fax Number | 7186310509 |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |
| Authorized Official Name | INNA GELLERMAN (OWNER) |
| Authorized Official Telephone | 7186310508 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | Dental Providers | ||
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Street Address |
208-54 CROSS ISLAND PARKWAY |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124448121 | Anne Chan-ly, Dds, Pllc | Clinic/Center | 208-54 Cross Island Parkway, Bayside, NY 11360 | 2014-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003446345 | Astride Mompremier | Behavior Technician | 214-10 24thavenue, Suite2, Bayside, NY 11360 | 2020-01-24 |
| 1992208144 | Accredited Dermatologic Surgery, PC | Clinic/Center | 23-83 Bell Blvd, Bayside, NY 11360 | 2018-03-14 |
| 1972041820 | Claudia Gina Block | Specialist | 1815 215 Street, Apt 9r, Bayside, NY 11360 | 2017-02-10 |
| 1720524358 | Ellen Tsang | Occupational Therapist | 215-26 23rd Road, Apt #1, Bay Terrace, NY 11360 | 2017-01-06 |
| 1982051082 | Sonya Sheppard | Registered Nurse | 29-01 216th St, St. Marys Community Care Professionals, Bayside, NY 11360 | 2016-05-18 |
| 1912364373 | Tiffany Ann Avon | Psychologist | 207-28 Jordan Drice, Bayside, NY 11360 | 2016-01-15 |
| 1992178925 | Ira Knobler | Behavioral Analyst | 15-50 212th St, Bayside, NY 11360 | 2015-11-13 |
| 1386028595 | Annalisa Macaluso | Nurse Practitioner | 20568 Brian Crescent, Bayside, NY 11360 | 2015-07-17 |
| 1821497728 | Arthur Ernest Schwartz | General Practice | 216-12 31st Road, Bayside, NY 11360 | 2014-08-15 |
| 1396170916 | Justin Jongkyu Chung | Pharmacist | 2603 213 Street, Bayside, NY 11360 | 2013-09-13 |
| Find all providers in zip 11360 | ||||
| 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 |
|---|---|---|---|---|
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1497997985 | Dr. Mary Grigoratos, Orthodontist P.C. | Dentist | 2620 Bell Blvd, Bayside, NY 11360-2539 | 2009-03-30 |
| 1093951865 | Alice Chabora Tobias | Dentist | 2819 214th St, Bayside, NY 11360-2642 | 2008-12-29 |
| 1134336852 | Gisela Chan-chu | Dentist | 21154 45th Dr Fl 2, Bayside, NY 11361-3310 | 2007-05-16 |
| 1447399365 | Daniel Alexander Kuncio | Dentist | 2603 203rd St, Bayside, NY 11360-2330 | 2007-02-06 |
| 1104903145 | Daisy Sungsoon Song-cha | Dentist | 21016 Northern Blvd Fl 2, Bayside, NY 11361-3240 | 2006-11-01 |
| 1053955260 | Bayview Orthodontics, P.C. | Dentist | 21333 39th Ave Ste 300, Bayside, NY 11361-2092 | 2019-10-30 |
| 1316463383 | Stacy Wolf | Dentist | 2325 Bell Blvd, Bayside, NY 11360-2056 | 2017-08-21 |
| 1548619091 | Christina Seong | Dentist | 21435 42nd Ave, Bayside, NY 11361-2993 | 2016-06-06 |
| 1922498880 | Susan Huh Dds, Pllc | Dentist | 3808 Bell Blvd Ste 3, Bayside, NY 11361-2080 | 2015-01-30 |
| Find all providers in BAYSIDE | ||||
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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.