Individual provider Active NPI

Publio Silfa, D.D.S.

  • General Practice Dentistry
  • Astoria, NY
National Provider Identifier
1366733487
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
056071 Issued in NY
Practice address
3080 21St St
2ND Floor
Astoria, NY 11102-4242
Phone
(718) 873-9550
Fax
(718) 228-4591
NPI assigned
Apr 23, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 056071 NY Primary

Addresses

Primary practice location

3080 21St St
2ND Floor
Astoria, NY 11102-4242

Mailing address

3080 21St St
2ND Floor
Astoria, NY 11102-4242
Phone (718) 873-9550

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
I20160127000627 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9931402807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1303516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1366733487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 21ST ST",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024242",
            "telephone_number": "718-873-9550",
            "fax_number": "718-228-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 21ST ST",
            "address_2": "2ND FLOOR",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024242",
            "telephone_number": "718-873-9550",
            "fax_number": "718-228-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILFA",
        "first_name": "PUBLIO",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-23",
        "last_updated": "2012-07-17",
        "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": "056071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.