Jeffrey D Felicetti, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

046493 Issued in NY

Practice address

1035 Park Blvd
Suite 2-D
Massapequa Park, NY 11762-2743

Phone

(516) 795-7878

Fax

(516) 795-0152

NPI assigned

Oct 16, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jfelicetti491646@nyumc.direct-ci.com

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1649469594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "address_2": "SUITE 2-D",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-795-7878",
            "fax_number": "516-795-0152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PARK BLVD",
            "address_2": "SUITE 2-D",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117622743",
            "telephone_number": "516-795-7878",
            "fax_number": "516-795-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICETTI",
        "first_name": "JEFFREY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "046493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Rosalie Fauvell
• Maureen Feasler
• Diana Marie Fede, TEACHER
• Geraldine Anne Fedoronko
• Dawn Marie Felicetti, DMD
• Jessica Feliciano
• Maureen Fennell, OTR/L
• Arthur Herbert Fisher, M.D.
• Genevieve Hope Fishman
• Kerry Fitzgerald, PTA

• Orthodontics and Dentofacial Orthopedics Dentistry in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.

Verify at the official NPI Registry.