Dr Nicholas John Johnnidis, DMD is a medicare enrolled "Dentist - General Practice" provider in Nassau County, Long Island, New York. His current practice location is
5 Wier Lane, Locust Valley, Nassau County, Long Island, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 759-2288.
Dr Nicholas John Johnnidis is licensed to practice in New York (license number 034240) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215181284.
Healthcare Provider's Profile
Full Name | Dr Nicholas John Johnnidis |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 5 Wier Lane, Nassau County, Long Island, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215181284
- Provider Enumeration Date: 11/04/2008
- Last Update Date: 11/04/2008
Medicare PECOS Information:
- PECOS PAC ID: 1658687660
- Enrollment ID: I20150904000703
Medical Identifiers
Medical identifiers for Dr Nicholas John Johnnidis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215181284 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 034240 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas John Johnnidis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Nicholas John Johnnidis, DMD 5 Wier Lane, Locust Valley-nassau County, NY 11560 Ph: (516) 759-2288 | Dr Nicholas John Johnnidis, DMD 5 Wier Lane, Locust Valley, Nassau County, Long Island, NY 11560 Ph: (516) 759-2288 |
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