Active NPI
John Vasko Jr., DMD
- Dentist
- West Sayville, NY
National Provider Identifier
1558749655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058831
- Practice address
- 8 Munson LN
West Sayville, NY 11796 - Phone
- (631) 563-1583
- NPI assigned
- May 11, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 058831 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
8 Munson LN
West Sayville, NY 11796
Mailing address
151 West Chester Hall
Suny at Stony Brook Hospital Dentistry
Stony Brook, NY 11794
Phone (631) 444-2557
Other practice location 1
151 West Chester Hall
Suny at Stony Brook Hospital Dentistry
Stony Brook, NY 11794
Phone (631) 444-2557
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
| License | State | Type | Specialty |
|---|---|---|---|
| 058831 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard M. Sigismondi DMD PC | 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.
-
- Customized Equipment (DME)
- West Sayville, NY
- NPI 1801321005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1558749655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 WEST CHESTER HALL",
"address_2": "SUNY AT STONY BROOK HOSPITAL DENTISTRY",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "11794",
"telephone_number": "631-444-2557",
"fax_number": "631-444-6013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 MUNSON LN",
"city": "WEST SAYVILLE",
"state": "NY",
"postal_code": "11796",
"telephone_number": "631-563-1583"
}
],
"practiceLocations": [
{
"address_1": "151 West Chester Hall",
"address_2": "Suny at Stony Brook Hospital Dentistry",
"address_purpose": "LOCATION",
"city": "Stony Brook",
"state": "NY",
"postal_code": "11794",
"country_code": "US",
"telephone_number": "631-444-2557",
"fax_number": "631-444-6013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASKO",
"first_name": "JOHN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-11",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058831",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Sayville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.