Eda Marie Maiello-Pensiero, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041633 Issued in NY

Practice address

334 Burr Rd
Commack, NY 11725-1935

Phone

(631) 499-3039

Fax

(631) 462-7795

NPI assigned

Feb 13, 2007

Sex

Female

Sole proprietor

Yes

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

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285776492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 BURR RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251935",
            "telephone_number": "631-499-3039",
            "fax_number": "631-462-7795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 BURR RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117251935",
            "telephone_number": "631-499-3039",
            "fax_number": "631-462-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIELLO-PENSIERO",
        "first_name": "EDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Mary Machlica, LCSW
• Melissa Macko, LCSW
• Kathleen D Macleod, OTRL
• Lauren Stacy Madoff, M.A.
• Justine Alexis Mahler, PSY.D.
• Carle B Maizner, LCSW
• Luis V Maldonado, M.D.
• Malenka Services, Inc.
• Yasmine Malik, RPH
• Fariah Mamoor, D.D.S.

• General Practice Dentistry in Commack, NY
• Providers in Commack, 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.