NPIMap

Organization Active NPI

Mauro V. Dibenedetto DMD PC

  • Dentist
  • Westhampton Beach, NY
National Provider Identifier
1093258675
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043792 Issued in NY
Legal business name
MAURO V. DIBENEDETTO DMD PC
Practice address
380 Mill Rd
Westhampton Beach, NY 11978-2063
Phone
(631) 288-3223
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Dr. Mauro V Dibenedetto, DMDNPI 1659585248
Title
Dentist
Phone
(631) 288-3223

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 043792 NY Primary

Addresses

Primary practice location

380 Mill Rd
Westhampton Beach, NY 11978-2063

Mailing address

PO Box 143
Westhampton, NY 11977-0143
Phone (631) 288-3223

National Provider Directory

National Provider Directory

Locations

380 Mill Rd
Westhampton Beach, NY 11978
Phone (631) 288-3223

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": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1093258675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143",
            "city": "WESTHAMPTON",
            "state": "NY",
            "postal_code": "119770143",
            "telephone_number": "631-288-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MILL RD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119782063",
            "telephone_number": "631-288-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURO V. DIBENEDETTO DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "DIBENEDETTO",
        "authorized_official_first_name": "MAURO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "631-288-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westhampton Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.