Individual provider Active NPI

Joseph Edward Margarone III, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Williamsville, NY
National Provider Identifier
1609849058
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
041485 Issued in NY
Practice address
6490 Main St
Suite 3
Williamsville, NY 14221-5853
Phone
(716) 631-2800
Fax
(716) 631-2814
NPI assigned
Feb 8, 2006
Last updated
Sep 27, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 041485 NY Primary

Addresses

Primary practice location

6490 Main St
Suite 3
Williamsville, NY 14221-5853

Mailing address

6490 Main St
Ste 3
Williamsville, NY 14221-5853
Phone (716) 631-2800

Other identifiers 1

IdentifierTypeStateIssuer
01339633MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000295 NY Practitioner - Maxillofacial Surgery 3577720259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474934400000",
    "number": "1609849058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6490 MAIN ST",
            "address_2": "STE 3",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215853",
            "telephone_number": "716-631-2800",
            "fax_number": "716-631-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 MAIN ST",
            "address_2": "SUITE 3",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215853",
            "telephone_number": "716-631-2800",
            "fax_number": "716-631-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGARONE",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2016-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "041485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01339633",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.