Stanley John Bartkow, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

026818 Issued in NY

Practice address

160 Orchard St
Plainview, NY 11803-4720

Phone

(516) 935-0511

Fax

(516) 822-5881

NPI assigned

Jul 17, 2007

Last updated

Jul 17, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1093914103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ORCHARD ST",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034720",
            "telephone_number": "516-935-0511",
            "fax_number": "516-822-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ORCHARD ST",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034720",
            "telephone_number": "516-935-0511",
            "fax_number": "516-822-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTKOW",
        "first_name": "STANLEY",
        "middle_name": "JOHN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "026818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02279858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Barrezueta
• Florence Barricelli, M.D.
• Melanie Barroco
• Cecilia Elizabeth Barry
• Alexander Barsky
• Lucas Bartlett
• Barry David Bass, D.D.S.
• Mary Lou Ann Bastiao, MSED
• Michelle Ann Bastiao, MSED
• Michelle Anne Battaglia-Capogna, O.D.

• General Practice Dentistry in Plainview, NY
• Providers in Plainview, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.