BLACK HALL DENTAL, P.C.
NPI 1356091516
Dentist - Oral and Maxillofacial Surgery in Manhasset, NY
About Black Hall Dental, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK HALL DENTAL, P.C. (NPI 1356091516) is a healthcare organization registered as an oral and maxillofacial surgery in Manhasset, New York and active in the NPI registry since March 2022. The organization maintains a secondary practice location in New Hyde Park and lists Michele L Cusack, Senior Vice President & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Group Practice 1
Accepted 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)
Black Hall Dental, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Black Hall Dental, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
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 Black Hall Dental, P.C.'s NPI number?
The NPI number for Black Hall Dental, P.C. is 1356091516. It was assigned to this organization in the NPPES registry on March 28, 2022.
Where is Black Hall Dental, P.C. located?
Black Hall Dental, P.C. is located at 400 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-4525.
What is Black Hall Dental, P.C.'s specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Black Hall Dental, P.C. enrolled in Medicare?
Yes. Black Hall Dental, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Black Hall Dental, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Black Hall Dental, P.C.. 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. The largest specialties are Maxillofacial Surgery (6), Dentist (2) and Oral Surgery (2). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Black Hall Dental, P.C. accept?
Health plans from UnitedHealthcare list Black Hall Dental, P.C. 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 Black Hall Dental, P.C. was last updated on March 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Black Hall Dental, P.c. · NPI 1356091516
Oral and Maxillofacial Surgery organization in Manhasset, New York. Organization record, active in the CMS NPPES registry since March 28, 2022.
## Identity
- **NPI:** 1356091516 (Entity type: Organization)
- **Enumerated:** March 28, 2022
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Michele Cusack, SENIOR VICE PRESIDENT & CFO
## Practice location
- **Address:** 400 COMMUNITY DR, Manhasset, NY 11030-3815
- **Phone:** (516) 562-4525 · **Fax:** (516) 562-2470
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Maxillofacial Surgery (6), Dentist (2), Oral Surgery (2); 1 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1356091516) · Data from the CMS NPPES public registry.