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ALISSA RAPHAELSON SUKOFF DDS
NPI 1619152220
Dentist - General Practice in Deer Park, NY

Active since January 02, 2008PECOS Enrolled
450 GRAND BLVD, DEER PARK, NY 11729(631) 667-4080(631) 667-4267 Get Directions Write a Review

NPPES record last updated: January 2, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alissa Raphaelson Sukoff Dds NPPES

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

ALISSA RAPHAELSON SUKOFF DDS (NPI 1619152220) is an individual general practice provider in Deer Park, New York, licensed in New York (045415-1) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619152220
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameALISSA RAPHAELSON SUKOFFCredential: DDS
Location Address450 GRAND BLVDDeer Park, NY 11729-4243
Mailing Address450 Grand BlvdDeer Park, NY 11729-4243 · (631) 667-4080 · Fax (631) 667-4267
Phone(631) 667-4080
Fax(631) 667-4267
Sole ProprietorNo
Enumeration DateJanuary 2, 2008
✔ NPI 1619152220 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 · 045415-1
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.
450 GRAND BLVD, Deer Park, NY 11729
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alissa Raphaelson Sukoff Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11729 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 5

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

MRS. RITAMARIE BILELLO DDS
Dentist (General Practice)
450 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 667-4080
RALPH B RAPHAELSON DDS
Dentist (General Practice)
450 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 667-4080
MRS. STACY WEDIN-SANDKUHL DDS
Dentist (General Practice)
450 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 667-4080
RAPHAELSON DENTAL ASSOCIATES LLP
Dentist
450 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 667-4080
DR. JUDY SANDERS-BOYD DDS
Dentist
450 GRAND BLVD
DEER PARK, NY 11729
Suffolk County (631) 667-4080

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 Alissa Sukoff's NPI number?

The NPI number for Alissa Sukoff is 1619152220. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Alissa Sukoff located?

Alissa Sukoff practices at 450 Grand Blvd, Deer Park, NY 11729. The listed phone number is (631) 667-4080.

What is Alissa Sukoff's specialty?

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

Is Alissa Sukoff enrolled in Medicare?

Yes. Alissa Sukoff is registered in the Medicare PECOS enrollment system.

What insurance does Alissa Sukoff accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Alissa Sukoff 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 Alissa Sukoff was last updated on January 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.