Individual provider Active NPI

Eugene M Prisco, DDS

  • General Practice Dentistry
  • New Rochelle, NY
National Provider Identifier
1578893913
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042513 Issued in NY
Practice address
1 Radisson PLZ
Suite1005
New Rochelle, NY 10801-5766
Phone
(914) 336-2202
NPI assigned
Jan 7, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 042513 NY Primary

Addresses

Primary practice location

1 Radisson PLZ
Suite1005
New Rochelle, NY 10801-5766

Mailing address

1 Radisson PLZ
Suite1005
New Rochelle, NY 10801-5766
Phone (914) 336-2202

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
042513NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Dental Care, P.C. General Practice PastSince Feb 1, 2022 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": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428451200000",
    "number": "1578893913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RADISSON PLZ",
            "address_2": "SUITE1005",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015766",
            "telephone_number": "914-336-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RADISSON PLZ",
            "address_2": "SUITE1005",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015766",
            "telephone_number": "914-336-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISCO",
        "first_name": "EUGENE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-07",
        "last_updated": "2015-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.