Individual provider Active NPI

Stephen Fabiano

  • Dentist
  • Amherst, NY
National Provider Identifier
1154781326
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
059180 Issued in NY
Practice address
2503 Kensington Ave
Amherst, NY 14226-4928
Phone
(716) 839-2820
NPI assigned
Mar 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 059180 NY Primary

Addresses

Primary practice location

2503 Kensington Ave
Amherst, NY 14226-4928

Mailing address

2503 Kensington Ave
Amherst, NY 14226-4928
Phone (716) 698-0143

Other practice location 1

4927 Main St
Snyder, NY 14226-4081
Phone (716) 631-2728

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
I20180504000993 NY Order and Referring Only - DentistPractitioner - Dentist 0941564637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen Fabiano DDS PLLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

2503 Kensington Ave
Snyder, NY 14226
Phone (716) 839-2820

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1154781326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 KENSINGTON AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264928",
            "telephone_number": "716-698-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 KENSINGTON AVE",
            "city": "AMHERST",
            "state": "NY",
            "postal_code": "142264928",
            "telephone_number": "716-839-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4927 Main St",
            "address_purpose": "LOCATION",
            "city": "Snyder",
            "state": "NY",
            "postal_code": "142264081",
            "country_code": "US",
            "telephone_number": "716-631-2728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FABIANO",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-02",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "059180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, NY

Sources for this page

Verify at the official NPI Registry.