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LONG ISLAND CENTER FOR ORAL AND MAXILLOFACIAL SURGERY
NPI 1164614178
Oral & Maxillofacial Surgery in Syosset, NY

Active since August 14, 2007
99 COLD SPRING ROAD, SUITE 3, SYOSSET, NY 11791(516) 921-2880(516) 921-2889 Get Directions Write a Review

NPPES record last updated: May 4, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Long Island Center For Oral And Maxillofacial Surgery NPPES

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

LONG ISLAND CENTER FOR ORAL AND MAXILLOFACIAL SURGERY (NPI 1164614178) is a healthcare organization registered as an oral & maxillofacial surgery in Syosset, New York and active in the NPI registry since August 2007. The organization lists Jeffrey Alan Goldberg, President, as its authorized official.

NPPES Registry Identity

NPI1164614178
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameLONG ISLAND ORAL SURGERY ASSOCIATES
Location Address99 COLD SPRING ROAD, SUITE 3Syosset, NY 11791
Mailing Address99 Cold Spring Road, Suite 3Syosset, NY 11791 · (516) 921-2880 · Fax (516) 921-2889
Phone(516) 921-2880
Fax(516) 921-2889
Organization SubpartNo
Authorized OfficialJeffrey Alan GoldbergPresident · (516) 921-2880
Enumeration DateAugust 14, 2007
Last NPPES UpdateMay 4, 2017
✔ NPI 1164614178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NY · 24574
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
99 COLD SPRING ROAD, Syosset, NY 11791
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Other Names 1

Doing Business AsLong Island Center For Oral And Maxillofacial Surgery

Other Identifiers 1

OtherDOW772Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Center For Oral And Maxillofacial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Long Island Center For Oral And Maxillofacial Surgery, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Jeffrey Goldberg, D.D.S.
Oral Surgery
NPI 1962484360
175 JERICHO TPKE
Syosset, NY 11791
(516) 921-2880
✔ PECOS✔ Accepts Medicare1.3 mi
Justin Cole, D.D.S.
Oral Surgery
NPI 1518286855
959 BRUSH HOLLOW RD SUITE 102
Westbury, NY 11590
(516) 333-5900
✔ PECOS✔ Accepts Medicare5.1 mi
John Keene, D.M.D.
Oral Surgery
NPI 1588678502
959 BRUSH HOLLOW RD
Westbury, NY 11590
(516) 333-5900
✔ PECOS✔ Accepts Medicare5.1 mi
Robert Licul, D.D.S.
Oral Surgery
NPI 1700869765
959 BRUSH HOLLOW RD
Westbury, NY 11590
(516) 333-5900
✔ PECOS✔ Accepts Medicare5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Long Island Oral Surgery Associates's NPI number?

The NPI number for Long Island Oral Surgery Associates is 1164614178. It was assigned to this organization in the NPPES registry on August 14, 2007. The provider is doing business as Long Island Center For Oral And Maxillofacial Surgery.

Where is Long Island Oral Surgery Associates located?

Long Island Oral Surgery Associates is located at 99 Cold Spring Road Suite 3, Syosset, NY 11791. The listed phone number is (516) 921-2880.

What is Long Island Oral Surgery Associates's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Long Island Oral Surgery Associates enrolled in Medicare?

Yes. Long Island Oral Surgery Associates is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Oral Surgery Associates?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Oral Surgery, reassign their Medicare billing to Long Island Oral Surgery Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Long Island Oral Surgery Associates was last updated on May 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.