Organization Active NPI

Patrick J. Sciortino D.D.S., P.C.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1629459763
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
032913-1 Issued in NY
Legal business name
PATRICK J. SCIORTINO D.D.S., P.C.
Practice address
459- Bay Ridge Parkway
Brooklyn, NY 11209-2701
Phone
(718) 748-1123
Fax
(718) 748-3673
NPI assigned
Jun 15, 2015
Last updated
Jun 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Patrick J. Sciortino, DDS PC.
Title
President/Owner
Phone
(718) 748-1123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 032913-1 NY Primary

Addresses

Primary practice location

459- Bay Ridge Parkway
Brooklyn, NY 11209-2701

Mailing address

459- Bay Ridge Parkway
Brooklyn, NY 11209-2701
Phone (718) 748-1123

Other identifiers 1

IdentifierTypeStateIssuer
00340881MedicaidNY

National Provider Directory

National Provider Directory

Locations

459 Bay Ridge Pkwy
Brooklyn, NY 11209
Phone (718) 478-1123

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1629459763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459- BAY RIDGE PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092701",
            "telephone_number": "718-748-1123",
            "fax_number": "718-748-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459- BAY RIDGE PARKWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112092701",
            "telephone_number": "718-748-1123",
            "fax_number": "718-748-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK J. SCIORTINO D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "SCIORTINO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-748-1123",
        "authorized_official_credential": "DDS PC."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "032913-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00340881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.