Ident Dental at Yorktown

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

049967 Issued in NY

Legal business name

IDENT DENTAL AT YORKTOWN

Practice address

2649 Strang Blvd
Suite 300
Yorktown Heights, NY 10598-2939

Phone

(888) 433-6820

NPI assigned

May 14, 2009

Organization subpart

No

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

Authorized official

Name

Adam Sposato

Title

Administrator

Phone

(914) 245-4332

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph J Fertucci, DDS

  • Dentist
  • Yorktown Heights, NY
  • NPI 1538257647
  NPD (past)

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1528292885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD",
            "address_2": "SUITE 300",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982939",
            "telephone_number": "888-433-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD",
            "address_2": "SUITE 300",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982939",
            "telephone_number": "888-433-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDENT DENTAL AT YORKTOWN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "SPOSATO",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "914-245-4332"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "048328",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "051732",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "049967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hygeia Integrated Health LLC
• I Heart Soul
• Danielle Lee Iammatteo, OTRL
• Maria Leticia Ibay
• Kehinde Ibrahim, LPN
• Joseph Indriolo, DDS
• Interventional Pain Management Services PLLC
• Nicole Jackson
• Louise Marie Jacob, L.M.S.W.
• Jane Chan, M.D., P.C.

• Oral and Maxillofacial Surgery (Dentist) in Yorktown Heights, NY
• Providers in Yorktown Heights, 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 May 14, 2009; 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.