Joseph Michael Merola, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

058625 Issued in NY

Practice address

6795 Hylan Blvd
Staten Island, NY 10309-3819

Phone

(718) 967-2412

Fax

(718) 554-4515

NPI assigned

May 7, 2014

Last updated

Mar 5, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Sweet Tooth Pediatric Dentistry

  dba Small World Dental

  • Pediatric Dentistry
  • Staten Island, NY
  • NPI 1174124291
  NPD Authorized official
• Small World Dental, PLLC

  dba Small World Dental

  • Pediatric Dentistry
  • Staten Island, NY
  • NPI 1023248341
  NPD (past)

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1699185991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S GREENLEAF AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103142922",
            "telephone_number": "466-778-1436",
            "fax_number": "718-554-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6795 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093819",
            "telephone_number": "718-967-2412",
            "fax_number": "718-554-4515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 Seaview Ave Dept Of",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-9877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEROLA",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "058625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina Rita Merlino, MD
• Phyllis Gina Merlino, DDS
• Phyllis Nancy Merlino, DPM
• Joseph R. Mermelstein, MD
• Arthur J Merola, DPM
• Megan Merrell, FNP
• Renee Merritt
• Mervilus-Bigord NP in Family Health, P.C.
• Sandra Mervilus-Bigord, FNP
• Rebecca Khaya Merzlyakov, MS

• Pediatric Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.