Individual provider Active NPI

Michelle Giumenta, DDS

  • Pediatric Dentistry
  • Staten Island, NY
National Provider Identifier
1265495634
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
045916 Issued in NY
Practice address
2530 Amboy Rd
Staten Island, NY 10306-2220
Phone
(718) 979-6462
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 045916 NY Primary

Addresses

Primary practice location

2530 Amboy Rd
Staten Island, NY 10306-2220

Mailing address

2530 Amboy Rd
Staten Island, NY 10306-2220
Phone (718) 979-9030

Other identifiers 1

IdentifierTypeStateIssuer
01804622MedicaidNY

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
I20250814000266 NY Practitioner - Dentist 5395243778

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
New York University College of Dentistry, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1111 Marcus Ave
New Hyde Park, NY 11042-1034

2 Brighton Rd
Suite 300
Clifton, NJ 07012-1645

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045916NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
White Hall Dental, PC Pediatric Dentistry CurrentSince May 24, 2025 Accepting new patients

Locations

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Interoperability endpoints

  • Direct secure messaging: mgiumenta51478@northwell.direct-ci.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265495634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062220",
            "telephone_number": "718-979-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 AMBOY RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062220",
            "telephone_number": "718-979-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIUMENTA",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "045916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.