Individual provider Active NPI

Joseph Daniel Debiase, DDS

  • Pediatric Dentistry
  • Hawthorne, NY
National Provider Identifier
1407155088
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
056765 Issued in NY
Practice address
245 Saw Mill River Rd
Suite 304
Hawthorne, NY 10532-1526
Phone
(914) 908-4939
NPI assigned
Mar 22, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 056765 NY Primary

Addresses

Primary practice location

245 Saw Mill River Rd
Suite 304
Hawthorne, NY 10532-1526

Mailing address

711 Linda Ave.
Thornwood, NY 10594-1513

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
I20170824003672 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9537431564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056765NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Debiase DDS PLLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1407155088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 LINDA AVE.",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105941513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 SAW MILL RIVER RD",
            "address_2": "SUITE 304",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321526",
            "telephone_number": "914-908-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBIASE",
        "first_name": "JOSEPH",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-22",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "056765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.