Individual provider Active NPI

Joseph Gerald Bacigalupo, DDS

  • General Practice Dentistry
  • Hempstead, NY
National Provider Identifier
1154529816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037118 Issued in NY
Practice address
121 Ingraham Blvd
Hempstead, NY 11550-5835
Phone
(516) 483-1380
NPI assigned
Jul 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 037118 NY Primary

Addresses

Primary practice location

121 Ingraham Blvd
Hempstead, NY 11550-5835

Mailing address

121 Ingraham Blvd
Hempstead, NY 11550-5835
Phone (516) 483-1380

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150515000378 NY Order and Referring Only - DentistPractitioner - Dentist 2163742123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
037118NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1183507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154529816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 INGRAHAM BLVD",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115505835",
            "telephone_number": "516-483-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 INGRAHAM BLVD",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115505835",
            "telephone_number": "516-483-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACIGALUPO",
        "first_name": "JOSEPH",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.