Individual provider Active NPI

Vincent Ulysses Saccente, D.D.S.

  • General Practice Dentistry
  • Staten Island, NY
National Provider Identifier
1033341250
Registry record updated Aug 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
032235 Issued in NY
Practice address
344 Shirley Ave
Staten Island, NY 10312-5454
Phone
(718) 948-0912
NPI assigned
Aug 21, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 032235 NY Primary

Addresses

Primary practice location

344 Shirley Ave
Staten Island, NY 10312-5454

Mailing address

344 Shirley Ave
Staten Island, NY 10312-5454
Phone (718) 948-0912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
032235NYMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250812800000",
    "number": "1033341250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 SHIRLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125454",
            "telephone_number": "718-948-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 SHIRLEY AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125454",
            "telephone_number": "718-948-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACCENTE",
        "first_name": "VINCENT",
        "middle_name": "ULYSSES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-21",
        "last_updated": "2009-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "032235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.