Anthony Skrobola

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

063426 Issued in NY

Practice address

75 Crystal Run Rd Ste 235
Middletown, NY 10941-7012

Phone

(845) 458-8500

NPI assigned

Mar 9, 2021

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudson Valley Pediatric Dental, PLLC

  • Pediatric Dentistry
  • Middletown, NY
  • NPI 1790143402
  NPD (past)

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

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1598340747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD STE 235",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CRYSTAL RUN RD STE 235",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109417012",
            "telephone_number": "845-458-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKROBOLA",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "063426",
            "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": []
}

• Heather Skinner
• Sophia Irene Skouloudis, PHARMD
• Kristina Marie Skowronski, M.A.
• Erin Ann Skrobanski, FNP-BC
• Skrobola & Schlosser DDS PC (DBA Bracesetters)
• Michael Skrobola, D.D.S.
• Michael Skrobola III, DDS
• Magdalena Skumial, PA
• Tineisha Slater
• Christina Slaughterbeck, M.S.

• Pediatric Dentistry in Middletown, NY
• Providers in Middletown, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.