Individual provider Active NPI

Vincent Pat Fuschino, DDS

  • Dentist
  • Mechanicville, NY
National Provider Identifier
1164719316
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50056046 Issued in NY
Practice address
42 N Main St
Mechanicville, NY 12118-1908
Phone
(518) 664-2411
NPI assigned
Jul 7, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 50056046 NY Primary

Addresses

Primary practice location

42 N Main St
Mechanicville, NY 12118-1908

Mailing address

42 N Main St
Mechanicville, NY 12118-1908
Phone (518) 664-2411

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
I20160509001041 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446559793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50056046NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent Fuschino, DDS, P.C. Dentist Past Accepting new patients

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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342137600000",
    "number": "1164719316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N MAIN ST",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121181908",
            "telephone_number": "518-664-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N MAIN ST",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121181908",
            "telephone_number": "518-664-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSCHINO",
        "first_name": "VINCENT",
        "middle_name": "PAT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-07",
        "last_updated": "2012-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50056046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicville, NY

Sources for this page

Verify at the official NPI Registry.