John Andrew Symecko Jr., D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049424 Issued in NY

Practice address

381 S Little Tor Rd
New City, NY 10956-1427

Phone

(845) 634-5208

Fax

(845) 634-4826

NPI assigned

Oct 18, 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: Yes
• Power mobility devices: No
• Hospice: Yes

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.

• Bronx Dental,P.C.

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1356420970
  NPD (past) Authorized official
• Palisades Dental Associates

  • Dentist
  • New City, NY
  • NPI 1326147166
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1558442145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 S LITTLE TOR RD",
            "address_2": "3RD FLOOR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561427",
            "telephone_number": "845-634-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 S LITTLE TOR RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561427",
            "telephone_number": "845-634-5208",
            "fax_number": "845-634-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMECKO",
        "first_name": "JOHN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02156072",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mikaela Sutherland, MHC-INTERN
• Suzanne Fultz Nutrition, PLLC
• Veronika Svechin
• Robert Andrew Swartz, PH.D.
• Sycamore NP in Family Health PC
• Synergy Acupuncture, Chiropractic and Physical Therapy PLLC
• Tamara Marie Talbott, MFT
• Amy Tannenbaum, RPH
• Melissa Dara Taragano, PT
• Marc Tarle, M.D.

• General Practice Dentistry in New City, NY
• Providers in New City, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.