SOUTH SHORE ORTHODONTICS, LLC (NPI# 1619008463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619008463 |
| Entity Type | Organization |
| Organization Name | SOUTH SHORE ORTHODONTICS, LLC |
| Practice Address |
2280 Grand Ave Suite 305 Baldwin NY 11510-3164 |
| Practice Telephone | 5163779818 |
| Mailing Telephone | 5163779818 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DENISE L EMMA (OWNER) |
| Authorized Official Telephone | 5162239070 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
044925 | NY | Dental Providers |
| Street Address |
2280 GRAND AVE SUITE 305 |
| City | BALDWIN |
| State | NY |
| Zip Code | 11510-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275532202 | Denise C Pineau | Physical Therapist | 2280 Grand Ave, Suite 205, Baldwin, NY 11510-3164 | 2005-07-20 |
| 1477801850 | Elisa Linda Reisner | Social Worker | 2280 Grand Ave, Baldwin, NY 11510-3164 | 2012-08-16 |
| 1821305368 | Long Island Psychiatric Services P.C. | Psychiatry & Neurology | 2280 Grand Ave, Suite 207a, Baldwin, NY 11510-3164 | 2010-09-03 |
| 1932420817 | South Shore Family Medicine,pc | Family Medicine | 2280 Grand Ave, Suite 208, Baldwin, NY 11510-3164 | 2010-06-15 |
| 1053630129 | Robert Fisch Md PC | Specialist | 2280 Grand Ave, Suite 201a, Baldwin, NY 11510-3164 | 2010-05-27 |
| 1235377003 | Xiaoya Wang | Acupuncturist | 2280 Grand Ave, Ste 203, Baldwin, NY 11510-3110 | 2009-02-01 |
| 1861646119 | Peter J Ajemian, Md, PC. | Specialist | 2280 Grand Ave, Suite 201a, Baldwin, NY 11510-3164 | 2008-11-13 |
| 1225204324 | Susan Ina Kane | Family Medicine | 2280 Grand Ave, Suite 208, Baldwin, NY 11510-3164 | 2008-05-08 |
| 1083810378 | Szymon Ryszard Hyzak | Psychiatry & Neurology | 2280 Grand Ave, Suite 309, Baldwin, NY 11510-3164 | 2007-06-22 |
| 1700921889 | Douglas Scott Milman | Counselor | 2280 Grand Ave, Suite206a, Baldwin, NY 11510-3164 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810657 | Garfield Patrick | Nurse Practitioner | 2044 Pine Street, Baldwin, NY 11510 | 2017-09-25 |
| 1447794557 | Amanda Rose Marcos | Specialist/Technologist | 2830 Laurel Ave, Baldwin, NY 11510 | 2016-12-08 |
| 1184170896 | Steffany Lissette Martinez | Home Health | 606 Rose Blvd, Baldwin, NY 11510 | 2016-09-01 |
| 1992188429 | Robert Bunstead | Specialist | 2475 Soper Ave., Baldwin, NY 11510 | 2015-07-01 |
| 1376926907 | Hazel Mckain | Registered Nurse | 1011 Alexander Pl, North Baldwin, NY 11510 | 2015-07-01 |
| 1922481605 | Nonie Craige | Social Worker | 2811 Tulip Ave, Baldwin, NY 11510 | 2015-06-30 |
| 1942625058 | Stefanie Scherner | Massage Therapist | 2789 Milburn Ave, Baldwin, NY 11510 | 2014-02-26 |
| 1497090476 | Thelma B Grant | Midwife | 1323 Tanwood Dr., Baldwin, NY 11510 | 2012-12-03 |
| 1366712432 | Maria Carmen Antoine | Psychologist | 3098 Ann St, Baldwin, NY 11510 | 2012-01-06 |
| 1992003818 | Carole Marie Mondesir | Nurse Practitioner | 489 Demott Avenue, Baldwin, NY 11510 | 2011-03-01 |
| Find all providers in zip 11510 | ||||
| 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 |
|---|---|---|---|---|
| 1104205285 | Kristo Ltd | Dentist | 1460 10th Ave, Baldwin, WI 54002-9342 | 2015-05-22 |
| 1063563674 | Douglas D Podoll Dds Sc | Dentist | 1460 10th Ave, Baldwin, WI 54002 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
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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.