Black Hall Dental, P.C.
NPI 1356091516 · Oral and Maxillofacial Surgery (Dentist) · Manhasset, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Hall Dental, P.C. is a Oral and Maxillofacial Surgery (Dentist) organization in Manhasset, NY (NPI 1356091516).
Provider details
- NPI number
- 1356091516
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Michele Cusack, Senior Vice President & Cfo(516) 321-6058
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 27005 76th AveNew Hyde Park, NY 11040-1402Phone: (718) 470-7110Fax: (718) 470-5890
Registry dates
- Enumerated
- 2022-03-28
- Last updated
- 2022-03-28
- Certified
- 2022-03-28
Frequently asked questions
- What is Black Hall Dental, P.C.'s NPI number?
- Black Hall Dental, P.C.'s National Provider Identifier (NPI) is 1356091516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Hall Dental, P.C.?
- Black Hall Dental, P.C. is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Black Hall Dental, P.C. located?
- Black Hall Dental, P.C.'s practice location on file with NPPES is 400 Community Dr, Manhasset, NY 11030-3815.
- What is Black Hall Dental, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Black Hall Dental, P.C. is (516) 562-4525.
- Does Black Hall Dental, P.C. accept Medicare?
- Black Hall Dental, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Hall Dental, P.C.?
- The authorized official listed on Black Hall Dental, P.C.'s NPPES record is Michele Cusack, Senior Vice President & Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Hall Dental, P.C.'s NPI active?
- Yes — Black Hall Dental, P.C.'s NPI (1356091516) is active in the NPPES registry as of the last update on 2022-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.