Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134132301 Individual Practitioner Male Practitioner

Dr. Prolay Kumer Paul , DDS

Dentist - General Practice • Freeport, NY

Professional Overview & Biography Verified Profile Summary

Dr. Prolay Paul, DDS is a registered healthcare professional specializing in Dentist - General Practice in Freeport, NY. Practice services are available at 101 S BERGEN PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

101 S Bergen Pl

Freeport, NY 115203528

Telephone 5162360000
Associated Practice Facility / Clinic
🏢 South Ocean Care Llc Facility NPI 1205811049

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Freeport, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
18 Specialists

Practicing in Freeport, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-30
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 049154

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NJ 220102139701

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2224019 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1003963935

PHYSICALTHERAPIST

Iris Lazo , DH

Dental Hygienist

NPI 1083226930
NPI 1104800408

Doctor of Medicine (M.D.)

NPI 1144232877

Doctor of Dental Surgery

Ray David , PT

Physical Therapist

NPI 1205809829

Physical Therapist

Danuza Vilela

Dental Hygienist

NPI 1316691397

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 30, 2021

Registered at 101 S BERGEN PL, FREEPORT, NY 115203528 (Tel: 5162360000)

📍
Updated Business Mailing Address December 30, 2021

Registered at 1600 STEWART AVE STE 300, WESTBURY, NY 115906611 (Tel: 5163960187)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 901 AVE OF THE AMERICAS, NEW YORK, NY 10001 (Tel: 2122390800)

📍
Updated Business Mailing Address July 08, 2007

Registered at 901 AVE OF THE AMERICAS, NEW YORK, NY 10001 (Tel: 2122390800)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PROLAY PAUL, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #049154 in NY)

🟢
Initial NPI Registration & Enumeration August 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134132301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2006
Last Update: December 30, 2021
Sole Proprietor: No

Mailing Address

1600 Stewart Ave Ste 300

Westbury, NY 115906611

Phone: 5163960187

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.