Active NPI
Donna J Passino, EFDA
- Dental Assistant
- Scranton, PA
National Provider Identifier
1184666224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- DF-002-111-L-T
- Practice address
- 959 Wyoming Ave
Scranton, PA 18509-3023 - Phone
- (570) 504-0882
- Fax
- (570) 504-0879
- NPI assigned
- Jun 12, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | DF-002-111-L-T | PA | Primary |
Addresses
Primary practice location
959 Wyoming Ave
Scranton, PA 18509-3023
Mailing address
124 Crown Ave
Scranton, PA 18505-2003
Phone (570) 351-8652
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 |
|---|---|---|---|
| DF-002-111-L-T | PA | MD | Dental Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1184666224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 CROWN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185052003",
"telephone_number": "570-351-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 WYOMING AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "185093023",
"telephone_number": "570-504-0882",
"fax_number": "570-504-0879"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSINO",
"first_name": "DONNA",
"middle_name": "J",
"credential": "EFDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "PA",
"license": "DF-002-111-L-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.