Staten Island Oral & Maxillofacial Surgery - Medicare Dental Clinic in Staten Island, NY

Staten Island Oral & Maxillofacial Surgery is a medicare enrolled dental clinic (Dentist - Oral And Maxillofacial Surgery) in Staten Island, New York. The current practice location for Staten Island Oral & Maxillofacial Surgery is 256 Mason Ave # C, Staten Island, New York. For appointments, you can reach them via phone at (718) 226-1251. The mailing address for Staten Island Oral & Maxillofacial Surgery is 256 Mason Ave # C, Staten Island, New York and phone number is (718) 226-1251.

Staten Island Oral & Maxillofacial Surgery is licensed to practice in New York (license number 033292). The clinic also participates in the medicare program and its NPI number is 1316217763. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 226-1251.

Contact Information

Staten Island Oral & Maxillofacial Surgery
256 Mason Ave # C
Staten Island
NY 10305-3408
(718) 226-1251
(718) 226-1252

Dental Care Clinic Profile

Full NameStaten Island Oral & Maxillofacial Surgery
SpecialityDentist
Location256 Mason Ave # C, Staten Island, New York
Authorized Official Name and PositionDavid C Hoffman (PRESIDENT)
Authorized Official Contact7182261251
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Staten Island Oral & Maxillofacial Surgery
256 Mason Ave # C
Staten Island
NY 10305-3408

Ph: (718) 226-1251
Staten Island Oral & Maxillofacial Surgery
256 Mason Ave # C
Staten Island
NY 10305-3408

Ph: (718) 226-1251

NPI Details:

NPI Number1316217763
Provider Enumeration Date01/03/2012
Last Update Date01/03/2012

Medicare PECOS Information:

Medicare PECOS PAC ID4486821709
Medicare Enrollment IDO20120126000740

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Medical Identifiers

Medical identifiers for Staten Island Oral & Maxillofacial Surgery such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316217763NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 033292 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Staten Island Oral & Maxillofacial Surgery acts as a billing entity for following providers:
Provider NameMark Stein
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1093778102
PECOS PAC ID: 5991695116
Enrollment ID: I20040319000150

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Provider NameJoshua D Segal
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1154595734
PECOS PAC ID: 4688829328
Enrollment ID: I20130301000128

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Provider NameSteve Yusupov
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1982991485
PECOS PAC ID: 9032482104
Enrollment ID: I20170912001720

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Provider NameLydia J Lam
Provider TypePractitioner - Maxillofacial Surgery
Provider IdentifiersNPI Number: 1649542523
PECOS PAC ID: 5395085567
Enrollment ID: I20190326001004

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Provider NameEmad Abdou
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1174914766
PECOS PAC ID: 6608269147
Enrollment ID: I20220207000388

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Provider NameMark Goodenough
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1154858033
PECOS PAC ID: 6800240433
Enrollment ID: I20230929001677

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› Verified 8 days ago

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Read more News

› Verified 8 days ago


Dental Clinics in Staten Island, NY

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Phone: 718-948-0870    
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Phone: 718-982-5500    Fax: 718-982-5554
Smiles Forever Dental Pc
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Practice Location: 4255 Amboy Rd, Staten Island, NY 10308
Phone: 718-682-3373    
Small World Dental
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Medicare: Not Enrolled in Medicare
Practice Location: 6795 Hylan Blvd, Staten Island, NY 10309
Phone: 718-967-2412    Fax: 718-554-4515
Kids Dental Of Staten Island, Pc
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Cool Dentist Pllc
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