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LONGO & OMMEN, DDS, PC
NPI 1336270149
Dentist - General Practice in Liverpool, NY

Active since March 07, 2007Opted out of Medicare · through Dec 29, 2027
4820 W TAFT RD, STE 112, LIVERPOOL, NY 13088(315) 457-3551 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Longo & Ommen, Dds, Pc NPPES

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

LONGO & OMMEN, DDS, PC (NPI 1336270149) is a healthcare organization registered as a general practice in Liverpool, New York and active in the NPI registry since March 2007. The organization has opted out of Medicare through December 29, 2027 and remains eligible to order and refer and lists Ronald Ommen, Owner, as its authorized official.

NPPES Registry Identity

NPI1336270149
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLONGO & OMMEN, DDS, PC
Location Address4820 W TAFT RD, STE 112Liverpool, NY 13088-2800
Mailing Address4820 W Taft Rd, Ste 112Liverpool, NY 13088-2800 · (315) 457-3551
Phone(315) 457-3551
Organization SubpartNo
Authorized OfficialRonald OmmenOwner · (315) 457-3551
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336270149 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 · 042172-1
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.
4820 W TAFT RD, Liverpool, NY 13088
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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, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Longo & Ommen, Dds, Pc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 29, 2015 through December 29, 2027.

Opt-Out Effective DateDecember 29, 2015
Opt-Out In Effect ThroughDecember 29, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

AMY CAMBARERI PH.D.
Psychologist
4820 W TAFT RD, SUITE 108
LIVERPOOL, NY 13088
Onondaga County (315) 546-4743
HOOMAN RANJBARAN-JAHROMI M.D.
Internal Medicine (Cardiovascular Disease)
4820 W TAFT RD, #209
LIVERPOOL, NY 13088
Onondaga County (315) 448-6215
MRS. ELIZABETH MARIE CARRIGAN
Nurse Practitioner (Family)
4820 W TAFT RD, SUITE 201
LIVERPOOL, NY 13088
Onondaga County (315) 448-6215
GARY M FREEMAN MD
Family Medicine
4820 W TAFT RD, STE 215
LIVERPOOL, NY 13088
Onondaga County (315) 413-0004
MARY MAZZA NP
Nurse Practitioner (Family)
4820 W TAFT RD, SUITE 209
LIVERPOOL, NY 13088
Onondaga County (315) 448-6215
DR. THOMAS BENNETT NOLAN DDS
Dentist (General Practice)
4820 W TAFT RD
LIVERPOOL, NY 13088
Onondaga County (315) 451-4900
DOUGLASS POWELL M.D.
Obstetrics & Gynecology (Gynecology)
4820 W TAFT RD, SUITE 208
LIVERPOOL, NY 13088
Onondaga County (315) 451-2261
CYNTHIA J KAYLOR PA
Physician Assistant (Medical)
4820 W TAFT RD, SUITE 209
LIVERPOOL, NY 13088
Onondaga County (315) 448-6215

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 Longo & Ommen, Dds, PC's NPI number?

The NPI number for Longo & Ommen, Dds, PC is 1336270149. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Longo & Ommen, Dds, PC located?

Longo & Ommen, Dds, PC is located at 4820 W Taft Rd Ste 112, Liverpool, NY 13088. The listed phone number is (315) 457-3551.

What is Longo & Ommen, Dds, PC's specialty?

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

Is Longo & Ommen, Dds, PC enrolled in Medicare?

No. Longo & Ommen, Dds, PC has opted out of Medicare through December 29, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Longo & Ommen, Dds, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.