Active NPI
Florence M Certo, D.D.S.
- Dentist
- Staten Island, NY
National Provider Identifier
1336472257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33880
- Practice address
- 2950 Hylan Blvd
Staten Island, NY 10306 - Phone
- (718) 979-0075
- Fax
- (718) 980-2658
- NPI assigned
- Sep 10, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 33880 | NY | Primary |
Addresses
Primary practice location
2950 Hylan Blvd
Staten Island, NY 10306
Mailing address
2950 Hylan Blvd
Staten Island, NY 10306
Phone (718) 979-0075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33880 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1336472257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2950 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10306",
"telephone_number": "718-979-0075",
"fax_number": "718-980-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 HYLAN BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "10306",
"telephone_number": "718-979-0075",
"fax_number": "718-980-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERTO",
"first_name": "FLORENCE",
"middle_name": "M",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "33880",
"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 Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.