Individual provider Active NPI

Debra Oreste

  • Dentist
  • Patchogue, NY
National Provider Identifier
1497152607
Registry record updated Dec 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046643 Issued in NY
Practice address
157 N Ocean Ave
Suite 2
Patchogue, NY 11772-2016
Phone
(631) 475-6444
Fax
(631) 475-6941
NPI assigned
Dec 3, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 046643 NY Primary

Addresses

Primary practice location

157 N Ocean Ave
Suite 2
Patchogue, NY 11772-2016

Mailing address

157 N Ocean Ave
Suite 2
Patchogue, NY 11772-2016
Phone (631) 475-6444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
046643NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Oreste Dental Practice PC Dba Sunset Dental Care 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1497152607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 N OCEAN AVE",
            "address_2": "SUITE 2",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722016",
            "telephone_number": "631-475-6444",
            "fax_number": "631-475-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 N OCEAN AVE",
            "address_2": "SUITE 2",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117722016",
            "telephone_number": "631-475-6444",
            "fax_number": "631-475-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORESTE",
        "first_name": "DEBRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Patchogue, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.