Active NPI
Joseph Anthony Albanese, D.M.D.
- Dentist
- Staten Island, NY
National Provider Identifier
1336424100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 056187
- Practice address
- 1839 N Railroad Ave
Staten Island, NY 10306-2020 - Phone
- (917) 561-0539
- NPI assigned
- Oct 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DI02482000 | NJ | |
| Dentist | 122300000X | 056187 | NY | Primary |
Addresses
Primary practice location
1839 N Railroad Ave
Staten Island, NY 10306-2020
Mailing address
1839 N Railroad Ave
Staten Island, NY 10306-2020
Phone (917) 561-0539
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160325000300 | NY | Order and Referring Only - Dentist | 3577860154 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI02482000 | NJ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JDS Dental Care PLLC | Dentist | Current | Accepting new patients |
Locations
255 Mason Ave
Staten Island, NY 10305
Phone (718) 987-6543
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1336424100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1839 N RAILROAD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062020",
"telephone_number": "917-561-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1839 N RAILROAD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103062020",
"telephone_number": "917-561-0539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBANESE",
"first_name": "JOSEPH",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-12",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "DI02482000",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.