Ana Carolina Botta-Maltese

Primary specialty

DentistTaxonomy code 122300000X

License

000041-1 Issued in NY

Practice address

133 Westchester Hall Sbu
Stony Brook, NY 11794-8706

Phone

(631) 632-8937

NPI assigned

Dec 2, 2013

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1659702603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WESTCHESTER HALL SBU",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948706",
            "telephone_number": "631-632-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WESTCHESTER HALL SBU",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948706",
            "telephone_number": "631-632-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTA-MALTESE",
        "first_name": "ANA CAROLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "000041-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Bonomo, MD
• Ingmarie Borneby
• Patricia Boromee, MD
• Serena Grace Borrero Lovelace, NP, RN
• Ryan Thomas Bosak, PHARMD.
• Isadora C Botwinick, M.D.
• Thomas Joseph Bove, DO
• Rachel Boykan, M.D.
• Marie Therese Boylan, RN
• Alexandra Mary Boyle

• Dentist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.