Individual provider Active NPI

Salvatore Anthony Coscia, DDS

  • Dentist
  • Lynbrook, NY
National Provider Identifier
1639249964
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0522281 Issued in NY
Practice address
96 Atlantic Ave
Lynbrook, NY 11563-3461
Phone
(516) 792-6952
NPI assigned
Nov 8, 2006
Last updated
Oct 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0522281 NY Primary

Addresses

Primary practice location

96 Atlantic Ave
Lynbrook, NY 11563-3461

Mailing address

164 Morton Blvd
Plainview, NY 11803-5617
Phone (917) 599-8856

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118002532 NY Order and Referring Only - DentistPractitioner - Dentist 8224338587

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0522281NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Ave Dental Care Past Accepting new patients
Atlantic Avenue Dental PC Past Accepting new patients

Organizations & group practices 2

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1639249964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MORTON BLVD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035617",
            "telephone_number": "917-599-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 ATLANTIC AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633461",
            "telephone_number": "516-792-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSCIA",
        "first_name": "SALVATORE",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0522281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynbrook, NY

Sources for this page

Verify at the official NPI Registry.