Active NPI
Janet Spadavecchia, DMD
- Dentist
- Binghamton, NY
National Provider Identifier
1588046544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058505
- Practice address
- 219 Front St
Binghamton, NY 13905-2455 - Phone
- (607) 584-4545
- Fax
- (607) 584-4530
- NPI assigned
- Jun 25, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 058505 | NY | Primary |
Addresses
Primary practice location
219 Front St
Binghamton, NY 13905-2455
Mailing address
219 Front St
Binghamton, NY 13905-2455
Phone (607) 584-4545
Other names 1
- Janet Wong
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160922001039 | NY | Order and Referring Only - Dentist | 8325335151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058505 | NY | MD | Clinical Social Worker |
Interoperability endpoints
- jspadavecchia196804@direct-guthrie.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1588046544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 FRONT ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139052455",
"telephone_number": "607-584-4545",
"fax_number": "607-584-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 FRONT ST",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139052455",
"telephone_number": "607-584-4545",
"fax_number": "607-584-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADAVECCHIA",
"first_name": "JANET",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-25",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANET",
"last_name": "WONG",
"credential": "DMD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Binghamton, NY
- Southern Tier Associates in Podiatric Medicine & Surgery PLLC
- Southern Tier Independence Center, Inc.
- Southern Tier Medical Care - Ny PC
- Southern Tier Physical Therapy of Binghamton PC
- Southern Tier Urology Clinic
- Margo Ann Spak, LMT
- Jacqueline M. Spalik, MSPT
- Nicole Sparaco, RN
- Shawn Patrick Sparks, GRNA
- Delana Durrell Spaulding, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.