Active NPI
Daniel Joseph Scialabba, DDS
- Dentist
- Hopewell Junction, NY
National Provider Identifier
1679862510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 056314
- Practice address
- 1557 Route 82 Unit 8
Hopewell Junction, NY 12533-3328 - Phone
- (845) 243-2300
- NPI assigned
- Mar 31, 2011
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 056314 | NY | Primary |
Addresses
Primary practice location
1557 Route 82 Unit 8
Hopewell Junction, NY 12533-3328
Mailing address
3 Odell Dr
Stony Point, NY 10980-3634
Phone (845) 548-1339
Other practice location 1
3 odell dr
stony point, NY 10980
Phone (845) 548-1339
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056314 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin M. Prunty DDS, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726704000000",
"number": "1679862510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 ODELL DR",
"city": "STONY POINT",
"state": "NY",
"postal_code": "109803634",
"telephone_number": "845-548-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1557 ROUTE 82 UNIT 8",
"city": "HOPEWELL JUNCTION",
"state": "NY",
"postal_code": "125333328",
"telephone_number": "845-243-2300"
}
],
"practiceLocations": [
{
"address_1": "3 odell dr",
"address_purpose": "LOCATION",
"city": "stony point",
"state": "NY",
"postal_code": "10980",
"country_code": "US",
"telephone_number": "845-548-1339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCIALABBA",
"first_name": "DANIEL",
"middle_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-31",
"last_updated": "2024-09-19",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "056314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopewell Junction, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.