OrganizationActive
Broadway Mall Dental
NPI 1225183551 · Dentist · Hicksville, NY
Broadway Mall Dental is a Dentist organization in Hicksville, NY (NPI 1225183551).
Provider details
- NPI number
- 1225183551
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Igor Levin, Owner(516) 933-3444
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Broadway Mall
Hicksville, NY 11801
Phone: (516) 933-3444
Fax: (516) 933-3445
Street-level locationGet directions
Mailing address
200 Broadway Mall
Hicksville, NY 11801
Registry dates
- Enumerated
- 2007-01-25
- Last updated
- 2020-08-22
Frequently asked questions
- What is Broadway Mall Dental's NPI number?
- Broadway Mall Dental's National Provider Identifier (NPI) is 1225183551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broadway Mall Dental?
- Broadway Mall Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Broadway Mall Dental located?
- Broadway Mall Dental's practice location on file with NPPES is 200 Broadway Mall, Hicksville, NY 11801.
- What is Broadway Mall Dental's phone number?
- The practice phone number listed in the NPPES registry for Broadway Mall Dental is (516) 933-3444.
- Who is the authorized official for Broadway Mall Dental?
- The authorized official listed on Broadway Mall Dental's NPPES record is Igor Levin, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broadway Mall Dental's NPI active?
- Yes — Broadway Mall Dental's NPI (1225183551) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.