Active NPI
Anthony Vernillo, D.D.S., PH.D., MBE
- Oral and Maxillofacial Pathology Dentistry
- New York, NY
National Provider Identifier
1649492406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 033365-1
- Practice address
- 345 E 24TH St
838 Schwartz
New York, NY 10010-4020 - Phone
- (121) 299-8985
- NPI assigned
- May 2, 2007
- Last updated
- Jul 8, 2007
- 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 | 033365-1 | NY | Primary |
Addresses
Primary practice location
345 E 24TH St
838 Schwartz
New York, NY 10010-4020
Mailing address
3236 46TH St
Long Island City, NY 11103-1912
Phone (171) 877-7910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033365-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649492406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3236 46TH ST",
"city": "LONG ISLAND CITY",
"state": "NY",
"postal_code": "111031912",
"telephone_number": "171-877-7910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 E 24TH ST",
"address_2": "838 SCHWARTZ",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104020",
"telephone_number": "121-299-8985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNILLO",
"first_name": "ANTHONY",
"credential": "D.D.S., PH.D., MBE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "NY",
"license": "033365-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.