DR. SHANY C PARK DMD NPI 1619067675
Dentist - Orthodontics and Dentofacial Orthopedics in New Rochelle, NY

Individual Female Dentist Orthodontics and Dentofacial Orthopedics PECOS Enrolled

About DR. SHANY C PARK DMD

Shany Park is a provider established in New Rochelle, New York and her medical specialization is Dentist with a focus in orthodontics and dentofacial orthopedics . The NPI number of Shany Park is 1619067675 and was assigned on October 2006. The practitioner's primary taxonomy code is 1223X0400X with license number 048040-1 (NY). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1619067675
Provider NameDR. SHANY C PARK DMD
Provider Location Address77 QUAKER RIDGE RD #202 NEW ROCHELLE, NY 10804
Provider Mailing Address77 QUAKER RIDGE RD #202 NEW ROCHELLE, NY 10804
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Enumeration Date10-13-2006
Last Update Date07-08-2007

A dentist like Dr. Shany C Park Dmd is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.Shany Park is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)..

Shany Park is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.



Primary Taxonomy

Taxonomy Code1223X0400X
ClassificationDentist
TypeDental Providers
SpecializationOrthodontics and Dentofacial Orthopedics
License No.048040-1
License StateNY
Taxonomy DescriptionThat area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Business Address

DR. SHANY C PARK DMD
77 QUAKER RIDGE RD
#202
NEW ROCHELLE, NY
ZIP 10804
Phone: (914) 636-5958

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Mailing Address

DR. SHANY C PARK DMD
77 QUAKER RIDGE RD
#202
NEW ROCHELLE, NY
ZIP 10804
Phone: (914) 636-5958


PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619067675
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26290614614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 0 + 6 + 1 + 4 + 6 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1619067675 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275532822DR. MARIA L WING MD
Individual
Internal Medicine77 QUAKER RIDGE RD SUITE 200A
NEW ROCHELLE, NY 10804
(914) 235-8224
1316946916DR. PAMELA G ELIACH M.D.
Individual
Internal Medicine77 QUAKER RIDGE RD SUITE 200A
NEW ROCHELLE, NY 10804
(914) 235-8224
1639178023DR. MARTIN B ENGELHARDT III D.O
Individual
Internal Medicine77 QUAKER RIDGE RD SUITE 200A
NEW ROCHELLE, NY 10804
(914) 235-8224
1306837786DR. STEPHEN J OUSTATCHER
Individual
Dentist (General Practice)77 QUAKER RIDGE RD SUITE 206
NEW ROCHELLE, NY 10804
(914) 636-4118
1790757649DR. DIEDRA S. MCGUIRE DDS
Individual
Dentist (Orthodontics and Dentofacial Orthopedics)77 QUAKER RIDGE RD SUITE 209
NEW ROCHELLE, NY 10804
(914) 654-1859
1144299207DR. BARRY W LANGSAM DDS
Individual
Dentist (Oral and Maxillofacial Surgery)77 QUAKER RIDGE RD STE 212
NEW ROCHELLE, NY 10804
(914) 235-1235
1992815989DR. JULIE ELIZABETH EHRMAN KUPERSMITH M.D.
Individual
Plastic Surgery77 QUAKER RIDGE RD
NEW ROCHELLE, NY 10804
(914) 235-5171
1508959917RYE BROOK NEUROLOGY, PC
Organization
Neurological Surgery77 QUAKER RIDGE RD STE 207
NEW ROCHELLE, NY 10804
(917) 272-2680
1578656500DR. VALERIE ROSAMUND FERTEL D.D.S.
Individual
Dentist (General Practice)77 QUAKER RIDGE RD SUITE 100
NEW ROCHELLE, NY 10804
(914) 637-8148
1174681076DR. TASIOS G. VAKKAS D.D.S., M.D.
Individual
Dentist (Oral and Maxillofacial Surgery)77 QUAKER RIDGE RD SUITE 212
NEW ROCHELLE, NY 10804
(914) 235-1235
1992853055DR. JACQUELINE I NUSSBAUM DDS, MS
Individual
Dentist (Periodontics)77 QUAKER RIDGE RD SUITE 206
NEW ROCHELLE, NY 10804
(917) 636-4118
1710011242DR. PENNY RESNICK-GRAULICH DMD
Individual
Dentist (Pediatric Dentistry)77 QUAKER RIDGE RD SUITE 210
NEW ROCHELLE, NY 10804
(914) 633-4440
1316061872DR. SAL LONGO D.D.S.
Individual
Dentist (General Practice)77 QUAKER RIDGE RD SUITE 211
NEW ROCHELLE, NY 10804
(914) 636-3366
1205952868DR. MARTIN A RUBE D.D.S.
Individual
Dentist (General Practice)77 QUAKER RIDGE RD
NEW ROCHELLE, NY 10804
(914) 636-5555
1346459211 MEI-SANG HSIEH ACUPUNCTURIST
Individual
Acupuncturist77 QUAKER RIDGE RD SUITE 207
NEW ROCHELLE, NY 10804
(914) 320-7290
1003018466 GLEN J. APPLEBAUM D.D.S.
Individual
Dentist77 QUAKER RIDGE RD SUITE 206
NEW ROCHELLE, NY 10804
(914) 636-4118
1881897478 PAUL GIOTOPOULOS D.D.S.
Individual
Dentist77 QUAKER RIDGE RD SUITE 206
NEW ROCHELLE, NY 10804
(914) 636-4118
1871783571DR. KAREN HAGHENBECK PHD, APRN, FNP, RN
Individual
Registered Nurse (General Practice)77 QUAKER RIDGE RD NORTH RIDGE MEDICAL ASSOCIATES
NEW ROCHELLE, NY 10804
(914) 235-8224
1023206000BARRY W. LANGSAM, D.D.S.,PLLC
Organization
Dentist (Oral and Maxillofacial Surgery)77 QUAKER RIDGE RD 212
NEW ROCHELLE, NY 10804
(914) 235-1235
1073787438IRA J. SUTTON MD
Organization
Clinic/Center (Primary Care)77 QUAKER RIDGE RD SUITE 101
NEW ROCHELLE, NY 10804
(914) 636-0077

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Shany C Park Dmd is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.