Antonia Rose Mauro, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

061885 Issued in NY

Practice address

801 Motor Pkwy
Hauppauge, NY 11788-5256

Phone

(631) 348-1501

NPI assigned

Feb 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tiny Teeth Pediatric Dentistry PC

  • Pediatric Dentistry
  • Mineola, NY
  • NPI 1497562896
  NPD Authorized official
• Adam Felline, DMD

  • Pediatric Dentistry
  • Hauppauge, NY
  • NPI 1952973786
  NPD
• Children'S Dentistry of Hauppauge, LLP

  • Pediatric Dentistry
  • Hauppauge, NY
  • NPI 1366644718
  NPD (past)
• Kiddsmiles Pediatric Dentistry 7 PLLC

  • Pediatric Dentistry
  • Floral Park, NY
  • NPI 1952929911
  NPD (past)

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1386101848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 TITUS AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141312",
            "telephone_number": "516-350-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MOTOR PKWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885256",
            "telephone_number": "631-348-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "263 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Floral Park",
            "state": "NY",
            "postal_code": "110012146",
            "country_code": "US",
            "telephone_number": "516-365-5439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303037",
            "country_code": "US",
            "telephone_number": "516-365-5439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURO",
        "first_name": "ANTONIA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "061885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Mateo, LPN
• Danielle Matteo
• Patricia Loftus Matthews
• Kathleen J Mattiace, RN
• Danielle Matz, LPN
• Maxillofacial Ambulatory Surgery Center LLC
• Elisa Maya, M.S.E.D., TSHH
• Karen A Maybank, MD
• David A Mayer, MD
• MC MD P.C.

• Pediatric Dentistry in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.

Verify at the official NPI Registry.