Active NPI
Vincent Jerome Abbatiello, DMD
- Periodontics
- Greenvale, NY
National Provider Identifier
1497803126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 028672-1
- Practice address
- 45 Glen Cove Road
Greenvale, NY 11548-1057 - Phone
- (516) 484-4741
- Fax
- (516) 484-6058
- NPI assigned
- Jan 8, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 028672-1 | NY | Primary |
Addresses
Primary practice location
45 Glen Cove Road
Greenvale, NY 11548-1057
Mailing address
45 Glen Cove Road
Greenvale, NY 11548-1057
Phone (516) 484-4741
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 28, 2015 through Jul 28, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028672-1 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497803126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 GLEN COVE ROAD",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481057",
"telephone_number": "516-484-4741",
"fax_number": "516-484-6058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 GLEN COVE ROAD",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481057",
"telephone_number": "516-484-4741",
"fax_number": "516-484-6058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBATIELLO",
"first_name": "VINCENT",
"middle_name": "JEROME",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "028672-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenvale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.