Active NPI
Stephen Genna, DDS
- Dentist
- Massapequa, NY
National Provider Identifier
1598110710
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Apr 19, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 045220-1
- Practice address
- 4170 Sunrise Hwy
Massapequa, NY 11758-5303 - Phone
- (516) 541-5515
- NPI assigned
- Apr 25, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 | 045220-1 | NY | Primary |
Addresses
Primary practice location
4170 Sunrise Hwy
Massapequa, NY 11758-5303
Mailing address
4170 Sunrise Hwy
Massapequa, NY 11758-5303
Phone (516) 541-5515
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045220-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461542400000",
"number": "1598110710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4170 SUNRISE HWY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585303",
"telephone_number": "516-541-5515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4170 SUNRISE HWY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585303",
"telephone_number": "516-541-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENNA",
"first_name": "STEPHEN",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-04-25",
"last_updated": "2016-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "045220-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.