Cecile Declaro Pestano, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048398 Issued in NY

Practice address

57 W 58TH St
Suite 1, 2ND Floor
New York, NY 10019-1630

Phone

(212) 593-3822

Fax

(501) 423-4510

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Cecile C Declaro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225058142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 TIMBER RIDGE RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089025515",
            "telephone_number": "609-468-7197",
            "fax_number": "501-423-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 W 58TH ST",
            "address_2": "SUITE 1, 2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191630",
            "telephone_number": "212-593-3822",
            "fax_number": "501-423-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESTANO",
        "first_name": "CECILE",
        "middle_name": "DECLARO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048398",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02144700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PROVIDER",
            "identifier": "908363",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILE",
            "last_name": "DECLARO",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hayley Pessin, PH.D.
• Lauren Pesso, LCSW
• Dayna Pessoa, LCSW
• Ashley Pessolano, PA
• Caitlin Pestana Martins, MD
• Kasia Petchel
• Claire Petchler, NP, PHD, RN
• Marissa Petchpradub
• Catherine Niyada Petchprapa, M.D.
• Matthew Petcoff, CNM

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.