OrganizationActive
Pediatric Dentistry of Long Island
NPI 1629469499 · Dental Clinic/Center · Medford, NY
Pediatric Dentistry of Long Island is a Dental Clinic/Center organization in Medford, NY (NPI 1629469499).
Provider details
- NPI number
- 1629469499
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Goldstein, Ceo(631) 654-4242
- License
- 041152 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1719 N Ocean Ave Ste C
Medford, NY 11763-2669
Phone: (631) 654-4242
Fax: (631) 654-4291
Street-level locationGet directions
Mailing address
1719 N Ocean Ave Ste C
Medford, NY 11763-2669
Registry dates
- Enumerated
- 2015-02-13
- Last updated
- 2015-02-13
Frequently asked questions
- What is Pediatric Dentistry of Long Island's NPI number?
- Pediatric Dentistry of Long Island's National Provider Identifier (NPI) is 1629469499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dentistry of Long Island?
- Pediatric Dentistry of Long Island is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pediatric Dentistry of Long Island located?
- Pediatric Dentistry of Long Island's practice location on file with NPPES is 1719 N Ocean Ave Ste C, Medford, NY 11763-2669.
- What is Pediatric Dentistry of Long Island's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dentistry of Long Island is (631) 654-4242.
- Who is the authorized official for Pediatric Dentistry of Long Island?
- The authorized official listed on Pediatric Dentistry of Long Island's NPPES record is Scott Goldstein, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dentistry of Long Island's NPI active?
- Yes — Pediatric Dentistry of Long Island's NPI (1629469499) is active in the NPPES registry as of the last update on 2015-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.