LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC
NPI 1912080417
Dentist - Oral and Maxillofacial Surgery in Mineola, NY

Q: What is Long Island Oral & Maxillofacial Surgery, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since October 20, 2006

134 MINEOLA BLVD., 3 FLOOR, MINEOLA, NY 11501(516) 294-9696(516) 294-3531 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Long Island Oral & Maxillofacial Surgery, Pc NPPES

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

LONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC (NPI 1912080417) is a healthcare organization registered as an oral and maxillofacial surgery in Mineola, New York and active in the NPI registry since October 2006. The organization lists Debra Mcquillan, Manager, as its authorized official.

NPPES Registry Identity

NPI1912080417

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameLONG ISLAND ORAL & MAXILLOFACIAL SURGERY, PC

Location Address134 MINEOLA BLVD., 3 FLOORMineola, NY 11501

Mailing Address134 Mineola Blvd., 3 FloorMineola, NY 11501 · (516) 294-9696 · Fax (516) 294-3531

Phone(516) 294-9696

Fax(516) 294-3531

Organization SubpartYes

Authorized OfficialDebra McquillanManager · (516) 294-9696

Enumeration DateOctober 20, 2006

Last NPPES UpdateJanuary 11, 2008

✔ NPI 1912080417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

134 MINEOLA BLVD., Mineola, NY 11501

Open in Google Maps ↗

Other Identifiers 1

Medicare PIND0W061NY

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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Long Island Oral & Maxillofacial Surgery, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Long Island Oral & Maxillofacial Surgery, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Scott Fauvell, DDS

Oral Surgery

NPI 1265641732

134 MINEOLA BLVD FL 3
Mineola, NY 11501

(516) 294-9696

✔ PECOS✔ Accepts MedicareSame address

Alex Meneshian, D.D.S., M.D.

Oral Surgery

NPI 1396706412

134 MINEOLA BLVD 3RD FLOOR
Mineola, NY 11501

(516) 294-9696

✔ PECOS✔ Accepts MedicareSame address

James Choi, MD, DMD

Maxillofacial Surgery

NPI 1043638158

531 PARK AVE
New York, NY 10065

(212) 339-3930

✔ PECOS17 mi

Luke Soletic, DDS, MD

Maxillofacial Surgery

NPI 1164879581

515 MADISON AVE FL 28
New York, NY 10022

(212) 813-0707

✔ PECOS18 mi

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 Long Island Oral & Maxillofacial Surgery, PC's NPI number?

The NPI number for Long Island Oral & Maxillofacial Surgery, PC is 1912080417. It was assigned to this organization in the NPPES registry on October 20, 2006.

Where is Long Island Oral & Maxillofacial Surgery, PC located?

Long Island Oral & Maxillofacial Surgery, PC is located at 134 Mineola Blvd. 3 Floor, Mineola, NY 11501. The listed phone number is (516) 294-9696.

What is Long Island Oral & Maxillofacial Surgery, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Long Island Oral & Maxillofacial Surgery, PC enrolled in Medicare?

Yes. Long Island Oral & Maxillofacial Surgery, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Oral & Maxillofacial Surgery, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Long Island Oral & Maxillofacial Surgery, PC, in Maxillofacial Surgery and Oral 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Long Island Oral & Maxillofacial Surgery, PC was last updated on January 11, 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.