Organization Active NPI

Stephen H. Passalacqua DDS PC

  • General Practice Dentistry
  • New Hartford, NY
National Provider Identifier
1043902067
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
STEPHEN H. PASSALACQUA DDS PC
Practice address
3 1/2 Oxford Rd
New Hartford, NY 13413-2608
Phone
(315) 724-1597
Fax
(315) 724-6130
NPI assigned
May 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Dr. Stephen Harold Passalacqua, DDSNPI 1386714566
Title
Dentist
Phone
(315) 724-1597

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3 1/2 Oxford Rd
New Hartford, NY 13413-2608

Mailing address

3 1/2 Oxford Rd
New Hartford, NY 13413-2608
Phone (315) 724-1597

National Provider Directory

National Provider Directory

Locations

3 Oxford Rd
New Hartford, NY 13413
Phone (315) 724-1597

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1043902067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 1/2 OXFORD RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132608",
            "telephone_number": "315-724-1597",
            "fax_number": "315-724-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 1/2 OXFORD RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132608",
            "telephone_number": "315-724-1597",
            "fax_number": "315-724-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN H. PASSALACQUA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "PASSALACQUA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "315-724-1597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.