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NORTHEAST IMPLANT & ORAL SURGERY, PC
NPI 1215152574
Oral & Maxillofacial Surgery in Danbury, CT

Active since April 13, 2007
27 HOSPITAL AVE STE 306, DANBURY, CT 06810(203) 797-0008(203) 743-7822 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2023, Dec 3, 2019 (2 updates tracked since 2019).

About Northeast Implant & Oral Surgery, Pc NPPES

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

NORTHEAST IMPLANT & ORAL SURGERY, PC (NPI 1215152574) is a healthcare organization registered as an oral & maxillofacial surgery in Danbury, Connecticut and active in the NPI registry since April 2007. The organization maintains a secondary practice location in Carmel and lists Monica Mccarley, Insurance Coordinator/credentialing, as its authorized official.

NPPES Registry Identity

NPI1215152574
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameNORTHEAST IMPLANT & ORAL SURGERY, PC
Location Address27 HOSPITAL AVE STE 306Danbury, CT 06810-5961
Mailing Address27 Hospital Ave Ste 306Danbury, CT 06810-5961 · (203) 628-4450 · Fax (203) 628-2350
Phone(203) 797-0008
Fax(203) 743-7822
Organization SubpartNo
Authorized OfficialMonica MccarleyInsurance Coordinator/credentialing · (203) 628-4450
Enumeration DateApril 13, 2007
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1215152574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
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.
27 HOSPITAL AVE STE 306, Danbury, CT 06810
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Secondary Practice Location 1

Location 1667 Stoneleigh Ave Ste 301Carmel, NY 10512-2455 · Phone (845) 278-2101

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

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Implant & Oral Surgery, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Northeast Implant & Oral Surgery, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Babak Hakimizadeh, DMD
Oral Surgery
NPI 1841447778
27 HOSPITAL AVE STE 306
Danbury, CT 06810
(203) 797-0008
✔ PECOSSame address
Anthony Cuomo, DDS
Oral Surgery
NPI 1720012578
667 STONELEIGH AVE SUITE 301
Carmel, NY 10512
(845) 278-2101
✔ PECOS11 mi
Christopher Cuomo, D.D.S., M.D.
Oral Surgery
NPI 1760425904
667 STONELEIGH AVE STE 301
Carmel, NY 10512
(845) 278-2101
✔ PECOS11 mi
Paul Patella, DDS
Oral Surgery
NPI 1639173040
280 CENTRAL PARK AVE SUITE 307
Hartsdale, NY 10530
(914) 997-7688
✔ PECOS33 mi
Julia Abend, DDS
Oral Surgery
NPI 1740229186
1075 CENTRAL PARK AVENUE, SUITE 207 SCARSDALE ORAL SURGERY, P.C.
Scarsdale, NY 10553
(914) 472-5252
✔ PECOS35 mi
Edward Miller, D.M.D.
Oral Surgery
NPI 1649327644
121 E 60TH ST SUITE 7A
New York, NY 10022
(212) 838-5895
✔ PECOS52 mi
Robert Weinstock, D.D.S.
Oral Surgery
NPI 1023426392
75 VAN DEENE AVE
West Springfield, MA 01089
(413) 788-9621
✔ PECOS64 mi
Seth Matton, MD, DMD
Oral Surgery
NPI 1609165521
314 FLANDERS RD
East Lyme, CT 06333
(860) 739-3133
✔ PECOS64 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 Northeast Implant & Oral Surgery, PC's NPI number?

The NPI number for Northeast Implant & Oral Surgery, PC is 1215152574. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Northeast Implant & Oral Surgery, PC located?

Northeast Implant & Oral Surgery, PC is located at 27 Hospital Ave Ste 306, Danbury, CT 06810. The listed phone number is (203) 797-0008.

What is Northeast Implant & Oral Surgery, PC's specialty?

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

Is Northeast Implant & Oral Surgery, PC enrolled in Medicare?

Yes. Northeast Implant & Oral Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Implant & Oral Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians, all in Oral Surgery, reassign their Medicare billing to Northeast Implant & Oral Surgery, PC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Northeast Implant & Oral Surgery, PC accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Northeast Implant & Oral Surgery, PC 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 Northeast Implant & Oral Surgery, PC was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.