Active NPI
Patrick J. Sciortino D.D.S., P.C.
- Dentist
- Brooklyn, NY
National Provider Identifier
1629459763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 032913-1
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00340881 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.