Individual provider Active NPI

Peter A Albanese Jr., DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Greenfield, MA
National Provider Identifier
1699796318
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
19432 Issued in MA
Practice address
285 High Street
Greenfield, MA 01301
Phone
(413) 774-2961
NPI assigned
Jul 21, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 2063 VT
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 19432 MA Primary

Addresses

Primary practice location

285 High Street
Greenfield, MA 01301

Mailing address

285 High Street
Greenfield, MA 01301
Phone (413) 774-2961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070514000445 MA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 3971513656 Reassigns benefits to 1 organization
I20160205000388 NH Practitioner - Maxillofacial Surgery 3971513656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Connecticut School of Dental Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

272 Main St
Suite 1
Keene, NH 03431-4122
Phone (603) 357-3709

285 High St
Greenfield, MA 01301-2608
Phone 41377429612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19432MAMDOral & Maxillofacial Surgery (D.M.D.)
2063VTMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Valley Oral Surgery Associates, PC Oral & Maxillofacial Surgery CurrentSince Sep 10, 2025 Accepting new patients
Monadnock Oral and Maxillofacial Surgery, PC Past Accepting new patients

Locations

285 High St
Greenfield, MA 01301
Phone (413) 774-2961

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1699796318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 HIGH STREET",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "01301",
            "telephone_number": "413-774-2961",
            "fax_number": "413-774-2961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 HIGH STREET",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "01301",
            "telephone_number": "413-774-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBANESE",
        "first_name": "PETER",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "VT",
            "license": "2063",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "19432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.