Active NPI
Paul Anthony Patella, DDS
- Oral and Maxillofacial Pathology Dentistry
- Hartsdale, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 029239
- Practice address
- 280 Central Park Ave
Suite 307
Hartsdale, NY 10530 - Phone
- (914) 997-7688
- Fax
- (914) 987-9438
- NPI assigned
- Jun 13, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 029239 | NY | Primary |
Addresses
Primary practice location
280 Central Park Ave
Suite 307
Hartsdale, NY 10530
Mailing address
280 Central Park Ave
Suite 307
Hartsdale, NY 10530
Phone (914) 997-7688
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Implant & Oral Surgery, PC | Oral and Maxillofacial Pathology | Current | Accepting new patients |
Locations
27 Hospital Ave
Ste 306
Danbury, CT 06810
Phone (203) 797-0008
27 Hospital Ave
Ste 203
Danbury, CT 06810
Phone (203) 797-0008
666 Lexington Ave
Ste 203
Mount Kisco, NY 10549
Phone (203) 797-0008
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.
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Danbury, CT
- NPI 1215152574
NY, Oral and Maxillofacial Pathology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639173040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CENTRAL PARK AVE",
"address_2": "SUITE 307",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "10530",
"telephone_number": "914-997-7688",
"fax_number": "914-987-9438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 CENTRAL PARK AVE",
"address_2": "SUITE 307",
"city": "HARTSDALE",
"state": "NY",
"postal_code": "10530",
"telephone_number": "914-997-7688",
"fax_number": "914-987-9438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATELLA",
"first_name": "PAUL",
"middle_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "NY",
"license": "029239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.