Mauro V. Dibenedetto, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043792-1 Issued in NY

Practice address

380 Mill Road
Westhampton Beach, NY 11978

Phone

(631) 288-3223

Fax

(631) 288-3224

NPI assigned

May 10, 2007

Last updated

Sep 10, 2024By 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

State licenses

Practice roles

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.

• Mauro V. Dibenedetto DMD PC

  • Dentist
  • Westhampton Beach, NY
  • NPI 1093258675
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1659585248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119780102",
            "telephone_number": "631-288-3223",
            "fax_number": "631-288-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 MILL ROAD",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "11978",
            "telephone_number": "631-288-3223",
            "fax_number": "631-288-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBENEDETTO",
        "first_name": "MAURO",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043792-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Albany LLC (CVS Pharmacy #10191)
• Ginger A Dammann, CASAC. MA.EDU
• Dina Darcy, CASAC
• Monje Michele Deas-Moore, LMHC
• Melissa Delgaudio, LMSW
• Melissa Donegain, RN
• Lacey Donlon, LMSW
• Christina M Doubrava, MSED, RD, CDN
• Timothy Drum, LMSW
• East End Hospice, Inc

• General Practice Dentistry in Westhampton Beach, NY
• Providers in Westhampton Beach, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.