Active NPI
Robert Charles Livoti, DDS
- General Practice Dentistry
- Syosset, NY
National Provider Identifier
1356049571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 064050
- Practice address
- 100 S Oyster Bay Rd
Syosset, NY 11791-5827 - Phone
- (516) 921-0372
- NPI assigned
- Feb 16, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 064050 | NY | Primary |
Addresses
Primary practice location
100 S Oyster Bay Rd
Syosset, NY 11791-5827
Mailing address
3809 Hahn Ave
Bethpage, NY 11714-5006
Phone (516) 695-2392
Other practice location 1
230 Mineola Blvd
Mineola, NY 11501-2420
Phone (516) 248-3623
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 |
|---|---|---|---|
| 064050 | NY | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1356049571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 HAHN AVE",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145006",
"telephone_number": "516-695-2392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S OYSTER BAY RD",
"city": "SYOSSET",
"state": "NY",
"postal_code": "117915827",
"telephone_number": "516-921-0372"
}
],
"practiceLocations": [
{
"address_1": "230 Mineola Blvd",
"address_purpose": "LOCATION",
"city": "Mineola",
"state": "NY",
"postal_code": "115012420",
"country_code": "US",
"telephone_number": "516-248-3623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIVOTI",
"first_name": "ROBERT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-16",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "064050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syosset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.