John Damaskos, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

040480 Issued in NY

Practice address

2 Morgan Ave
Port Jefferson Station, NY 11776-2017

Phone

(631) 928-6684

Fax

(631) 474-2105

NPI assigned

Mar 21, 2008

Last updated

Mar 21, 2008By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1689845240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MORGAN AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762017",
            "telephone_number": "631-928-6684",
            "fax_number": "631-474-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MORGAN AVE",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762017",
            "telephone_number": "631-928-6684",
            "fax_number": "631-474-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMASKOS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole D'Angelo
• Brandon Gabriel D'Onofrio
• Francis T. D'Orazi III, D.O.
• Lauren Dallaglio
• Kerri-Ann Daly
• Jennifer Damato, LCSW
• Deborah Dandrea
• Jennifer Daniello
• Shabeer A Dar
• Maria Fernanda Dasilva, PSY.D

• General Practice Dentistry in Port Jefferson Station, NY
• Providers in Port Jefferson Station, 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 Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.