DR. LONG SU DDS
NPI 1003918723
Dentist in New York, NY

Q: What is Long Su's NPI number?

The NPI number for Long Su is 1003918723. It was assigned to this individual provider in the NPPES registry on September 2, 2006.

Q: What is Long Su's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Long Su was last updated on March 15, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 02, 2006PECOS Enrolled

254 CANAL ST, SUITE 4008, NEW YORK, NY 10013(212) 966-3649 Get Directions Write a Review

NPPES record last updated: March 15, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Long Su Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LONG SU DDS (NPI 1003918723) is an individual dentist in New York, New York, licensed in New York (046375) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003918723

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. LONG SUCredential: DDS

Location Address254 CANAL ST, SUITE 4008New York, NY 10013-3501

Mailing Address254 Canal Street, Room 4008New York, NY 10013-7841 · (212) 489-4712

Phone(212) 966-3649

Sole ProprietorYes

Enumeration DateSeptember 2, 2006

Last NPPES UpdateMarch 15, 2013

✔ NPI 1003918723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in NY · 046375✔ Licensed in TX · D20421

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

254 CANAL ST, New York, NY 10013

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Long Su Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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