JACK CASALE D.D.S., P.C. (NPI# 1629279419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629279419 |
| Entity Type | Organization |
| Organization Name | JACK CASALE D.D.S., P.C. |
| Practice Address |
380 N Broadway Jericho NY 11753-2115 |
| Practice Telephone | 5168225757 |
| Mailing Telephone | 5168225757 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JACK H CASALE (OWNER) |
| Authorized Official Telephone | 5168225757 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
047118 | NY | Dental Providers |
| Street Address |
380 N BROADWAY |
| City | JERICHO |
| State | NY |
| Zip Code | 11753-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972586279 | Valerie Dawn Litwin | Social Worker | 380 N Broadway, Suite L3, Jericho, NY 11753-2115 | 2005-11-22 |
| 1528591559 | Hannah Rebecca Gorski | Dentist | 380 N Broadway, Suite L1, Jericho, NY 11753-2115 | 2017-04-06 |
| 1952775801 | Naika Clara Castma | Physician Assistant | 380 N Broadway, Jericho, NY 11753-2115 | 2015-11-16 |
| 1750770467 | Allied Physicians Group | Nurse Practitioner | 380 N Broadway, Jericho, NY 11753-2115 | 2015-01-19 |
| 1437426889 | Allied Physicians Group Pediatric After Hours Center Pllc | Pediatrics | 380 N Broadway, Jericho, NY 11753-2115 | 2011-11-29 |
| 1861656837 | Rachael Green Bilello | Pediatrics | 380 N Broadway, Jericho, NY 11753 | 2008-07-17 |
| 1164691622 | Keri A Greene-maskell | Dentist | 380 N Broadway, Suite L1, Jericho, NY 11753-2115 | 2008-02-28 |
| 1033393517 | Essner & Kosinski, Dds, Pllc D/b/a The Smile Station | Dentist | 380 N Broadway, Suite L1, Jericho, NY 11753-2115 | 2007-12-20 |
| 1477732840 | Stefani Joy Seiden | Psychologist | 380 N Broadway, Suite 407a, Jericho, NY 11753-2115 | 2007-11-01 |
| 1427118694 | Amorita Snow | Pediatrics | 380 N Broadway, Suite L 2, Jericho, NY 11753-2115 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706755 | Navila Armon | Social Worker | 575 Jericho Turnpike, Suite 100, Jericho, NY 11753 | 2020-06-26 |
| 1962035204 | Susan Renee Banco | Social Worker | 286 Carriage House Drive, Jericho, NY 11753 | 2020-02-14 |
| 1154807063 | John Buckman | Registered Nurse | 180 Fairhaven Drive, A23, Jericho, NY 11753 | 2018-07-13 |
| 1225545718 | P.d.m Family Dental, P.C. | Dentist | 295 N Broadway, Jericho, NY 11753 | 2018-01-05 |
| 1699285734 | Jamie Silverman | Social Worker | 51 Flower Lane, Jericho, NY 11753 | 2017-10-03 |
| 1922526748 | Tracey Cardello Lcsw P.C. | Social Worker | 400 Jericho Turnpike #107, Jericho, NY 11753 | 2017-08-31 |
| 1265971261 | Teladietitian | Dietitian, Registered | 471 North Broadway, 363, Jericho, NY 11753 | 2017-02-23 |
| 1346644382 | Aanze Maria Abraham | Nurse Practitioner | 246 Halsey Avenue, Jericho, NY 11753 | 2014-10-20 |
| 1356742449 | Morgan Weissman | Occupational Therapist | 19 Maytime Court, Jericho, NY 11753 | 2014-09-09 |
| 1063822732 | Disha Shah | Internal Medicine | 200 Fairhaven Dr Apt A16, Jericho, NY 11753 | 2014-05-05 |
| Find all providers in zip 11753 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
| 1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
| 1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
| 1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
| 1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
| 1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
| 1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
| 1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
| 1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
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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.