Jeffrey P Campisi, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

049390 Issued in NY

Practice address

6336 Route 25a
Wading River, NY 11792-2030

Phone

(631) 929-1234

Fax

(631) 929-4550

NPI assigned

Feb 2, 2007

Last updated

Oct 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Pediatric Dentistry

Education

State Un of Ny, Buffalo School of Dental Medicine, 2000

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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

• Wading River Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Wading River, NY
  • NPI 1750915377
  NPD Authorized official
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Warrensburg, NY
  • NPI 1194738344
  Medicare reassignment

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791417600000",
    "number": "1457499162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922026",
            "telephone_number": "631-929-1234",
            "fax_number": "631-929-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6336 ROUTE 25A",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922030",
            "telephone_number": "631-929-1234",
            "fax_number": "631-929-4550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3761 Main St",
            "address_purpose": "LOCATION",
            "city": "Warrensburg",
            "state": "NY",
            "postal_code": "128851837",
            "country_code": "US",
            "telephone_number": "518-623-3918",
            "fax_number": "518-623-4330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPISI",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "049390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeffrey.campisi.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3761 Main St",
            "city": "Warrensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128851837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tesia Marie Brooks, LMSW
• Myles Buhner, PHARMD
• Meredith Leslie Bushell, SPEECH PATHOLOGIST
• C Jay's Management Corporation
• Lorraine Callas, A.N.P.
• Allyson Carlson, PSYD
• Kayla B Carrasquillo, MASTER OF SCIENCE
• Alina M. Cavallo, LMSW
• Yelena Chavez, MSW
• Helena Cieslak, P.T.

• Pediatric Dentistry in Wading River, NY
• Providers in Wading River, 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 Oct 8, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.