Pasquale Scutari Jr., DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

045842-1 Issued in NY

Practice address

7334 Buckley Rd
North Syracuse, NY 13212-2657

Phone

(315) 458-8680

Fax

(315) 458-2786

NPI assigned

Nov 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Vitkus, Scutari & Cardoso Oral Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fayetteville, NY
  • NPI 1275618019
  NPD (past) Authorized official

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1407925837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 E GENESEE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130661537",
            "telephone_number": "315-637-4476",
            "fax_number": "315-637-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7334 BUCKLEY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132122657",
            "telephone_number": "315-458-8680",
            "fax_number": "315-458-2786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Buffalo St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Ithaca",
            "state": "NY",
            "postal_code": "148504224",
            "country_code": "US",
            "telephone_number": "607-277-7007",
            "fax_number": "607-277-5434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "516 E Genesee St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130661537",
            "country_code": "US",
            "telephone_number": "315-637-4476",
            "fax_number": "315-637-1261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCUTARI",
        "first_name": "PASQUALE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "045842-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01952107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Beth Schaeffer, MD
• Alan Lee Schippman, DC
• Linda Schreiber, N.P.
• Lisa Marie Schultze, LPN
• Carla Jean Schuyler, R.PH
• Aubrey Lynne Sejuit, LISW-CP
• Adam Shaver, BA, CASAC
• Cathleen Elizabeth Shea, LMHC
• Lindsay Shelmadine
• Wilson Dandato Sithole, DDS MPH

• Oral and Maxillofacial Surgery (Dentist) in North Syracuse, NY
• Providers in North Syracuse, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.