STATEN ISLAND ORAL & MAXILLOFACIAL SURGERY
NPI 1316217763
Dentist - Oral and Maxillofacial Surgery in Staten Island, NY
About Staten Island Oral & Maxillofacial Surgery NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STATEN ISLAND ORAL & MAXILLOFACIAL SURGERY (NPI 1316217763) is a healthcare organization registered as an oral and maxillofacial surgery in Staten Island, New York and active in the NPI registry since January 2012. The organization maintains a secondary practice location in Staten Island and lists David C Hoffman, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Staten Island Oral & Maxillofacial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Staten Island Oral & Maxillofacial Surgery, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Staten Island, NY 10305
Brooklyn, NY 11212
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 Staten Island Oral & Maxillofacial Surgery's NPI number?
The NPI number for Staten Island Oral & Maxillofacial Surgery is 1316217763. It was assigned to this organization in the NPPES registry on January 3, 2012.
Where is Staten Island Oral & Maxillofacial Surgery located?
Staten Island Oral & Maxillofacial Surgery is located at 256C Mason Ave, Staten Island, NY 10305. The listed phone number is (718) 226-1251.
What is Staten Island Oral & Maxillofacial Surgery's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Staten Island Oral & Maxillofacial Surgery enrolled in Medicare?
Yes. Staten Island Oral & Maxillofacial Surgery is registered in the Medicare PECOS enrollment system.
When is Staten Island Oral & Maxillofacial Surgery's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Staten Island Oral & Maxillofacial Surgery?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Oral Surgery, reassign their Medicare billing to Staten Island Oral & Maxillofacial Surgery. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Staten Island Oral & Maxillofacial Surgery accept?
Health plans from UnitedHealthcare list Staten Island Oral & Maxillofacial Surgery 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 Staten Island Oral & Maxillofacial Surgery was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Staten Island Oral & Maxillofacial Surgery · NPI 1316217763
Oral and Maxillofacial Surgery organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since January 3, 2012.
## Identity
- **NPI:** 1316217763 (Entity type: Organization)
- **Enumerated:** January 3, 2012
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** David Hoffman, PRESIDENT
## Practice location
- **Address:** 256C MASON AVE, Staten Island, NY 10305-3408
- **Phone:** (718) 226-1251 · **Fax:** (718) 226-1252
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 7 clinicians (Oral Surgery) reassign Medicare billing to this organization (form CMS-855R); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1316217763) · Data from the CMS NPPES public registry.