Susan Disenso, D,D,S,

Primary specialty

DentistTaxonomy code 122300000X

License

055726 Issued in NY

Practice address

20 Hospital Oval W
Dental Dept/Cedarwood Hall 2ND Floor
Valhalla, NY 10595-1559

Phone

(914) 493-8081

NPI assigned

Sep 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1225311699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL OVAL W",
            "address_2": "DENTAL DEPT/CEDARWOOD HALL 2ND FLOOR",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951559",
            "telephone_number": "914-493-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL OVAL W",
            "address_2": "DENTAL DEPT/CEDARWOOD HALL 2ND FLOOR",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951559",
            "telephone_number": "914-493-8081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISENSO",
        "first_name": "SUSAN",
        "credential": "D,D,S,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Dileo, F.N.P.
• Kerri A Dimiceli, M.S. CCC-SLP, TSHH
• Nicole Tanya Dimisko-Cowan, MSN, FNP
• Michael L Dineen, NP
• Christina Disanto
• Richard Divirgilio
• Tara Doherty, DO
• Carolin Isabel Dohle, M.D.
• Amanda Marie Dolan, MS, CCC-SLP
• Alexandra Dolgetta, MD

• Dentist in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.