Active NPI
Peter Puleio, D.M.D.
- Dentist
- Farmingdale, NY
National Provider Identifier
1124391164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 038762-1
- Practice address
- 502 Main St
Farmingdale, NY 11735-3565 - Phone
- (516) 249-4306
- NPI assigned
- Feb 22, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 038762-1 | NY | Primary |
Addresses
Primary practice location
502 Main St
Farmingdale, NY 11735-3565
Mailing address
502 Main St
Farmingdale, NY 11735-3565
Phone (516) 541-0534
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
| License | State | Type | Specialty |
|---|---|---|---|
| 038762-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329868800000",
"number": "1124391164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 MAIN ST",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117353565",
"telephone_number": "516-541-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 MAIN ST",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117353565",
"telephone_number": "516-249-4306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULEIO",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-22",
"last_updated": "2012-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "038762-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.