Peter Lawrence De Sciscio, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DI15245 Issued in NJ

Practice address

283 High St
Perth Amboy, NJ 08861

Phone

(732) 826-1530

Fax

(732) 826-2043

NPI assigned

Feb 23, 2007

Sex

Male

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 NJ

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

Practice roles

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.

• Premier Care Dentistry LLC

  • Dentist
  • Watchung, NJ
  • NPI 1699402230
  NPD (past)
• Rutgers School of Dental Medicine

  • Dental Clinic/Center
  • Newark, NJ
  • NPI 1487853248
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1245365568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "283 HIGH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-826-1530",
            "fax_number": "732-826-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 HIGH ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "08861",
            "telephone_number": "732-826-1530",
            "fax_number": "732-826-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SCISCIO",
        "first_name": "PETER",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "DI15245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth N Darvin, M.D.
• Lydia Esther David, D.M.D.
• Sampson M Davis, MD
• Ashraf S Dawod, RPH
• Lynette Rean De Jesus-Baez
• Barbara A Deacon, NP
• Yirley Del Rio Henao
• Cathy Demanovich, LSW
• Ahmed Enes Demirci, MD
• Carissa Nichole Depew, DNP, AGPCNP

• Dentist in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.