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DR. PETER ICKOWICZ DDS
NPI 1205994068
Dentist - General Practice in Williston Park, NY

Active since December 05, 2006PECOS Enrolled
99 HILLSIDE AVE, SUITE M, WILLISTON PARK, NY 11596(516) 746-7761(516) 746-7296 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter Ickowicz Dds NPPES

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

DR. PETER ICKOWICZ DDS (NPI 1205994068) is an individual general practice provider in Williston Park, New York, licensed in New York (049075) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205994068
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. PETER ICKOWICZCredential: DDS
Location Address99 HILLSIDE AVE, SUITE MWilliston Park, NY 11596-2333
Mailing Address99 Hillside Ave, Suite MWilliston Park, NY 11596-2333 · (516) 746-7761 · Fax (516) 746-7296
Phone(516) 746-7761
Fax(516) 746-7296
Sole ProprietorYes
Enumeration DateDecember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205994068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 049075
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
99 HILLSIDE AVE, Williston Park, NY 11596
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

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. Peter Ickowicz 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 11596 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHESDA CARDIAC CARE
Specialist
99 HILLSIDE AVE, SUITE D
WILLISTON PARK, NY 11596
Nassau County (516) 739-2930
DR. MICHAEL STEVEN ROTHBERG D.D.S
Dentist (Oral and Maxillofacial Surgery)
99 HILLSIDE AVE, SUITE C
WILLISTON PARK, NY 11596
Nassau County (516) 741-6410
KIMURA ACUPUNCTURE P.C.
Acupuncturist
99 HILLSIDE AVE, SUITE K
WILLISTON PARK, NY 11596
Nassau County (516) 882-1292
PERRY B HERSON MD PC
Specialist
99 HILLSIDE AVE, SUITE 99F
WILLISTON PARK, NY 11596
Nassau County (516) 746-0772
JENNINGS COUNSELING SERVICES, LCSW, PC
Social Worker (Clinical)
99 HILLSIDE AVE, SUITE J
WILLISTON PARK, NY 11596
Nassau County (516) 410-1122
NEIL A FALASCA OD
Optometrist
99 HILLSIDE AVE, SUITE 99I
WILLISTON PARK, NY 11596
Nassau County (516) 798-8812
DR. PERRY B HERSON MD
Specialist
99 HILLSIDE AVE, SUITE 99F
WILLISTON PARK, NY 11596
Nassau County (516) 746-0772
DR. STEVEN R BIRNBAUM PH. D.
Psychologist
99 HILLSIDE AVE, SUITE E
WILLISTON PARK, NY 11596
Nassau County (516) 742-2730

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 Peter Ickowicz's NPI number?

The NPI number for Peter Ickowicz is 1205994068. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Peter Ickowicz located?

Peter Ickowicz practices at 99 Hillside Ave Suite M, Williston Park, NY 11596. The listed phone number is (516) 746-7761.

What is Peter Ickowicz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Peter Ickowicz enrolled in Medicare?

Yes. Peter Ickowicz is registered in the Medicare PECOS enrollment system.

What insurance does Peter Ickowicz accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Peter Ickowicz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peter Ickowicz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.