Individual provider Active NPI

Frank Y Peritore, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1699802819
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0403151 Issued in NY
Practice address
397 Graham Avenue
Brooklyn, NY 11211
Phone
(718) 349-2011
Fax
(718) 349-8713
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0403151 NY Primary

Addresses

Primary practice location

397 Graham Avenue
Brooklyn, NY 11211

Mailing address

397 Graham Avenue
Bklyn, NY 11211
Phone (718) 349-2011

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160216002164 NY Order and Referring Only - DentistPractitioner - Dentist 0042515876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0403151NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smart Sleep Solutions LLC CurrentSince Oct 20, 2019 Accepting new patients
Woodpoint Dental, PLLC PastSince Jun 1, 2012 Accepting new patients

Locations

100 Manetto Hill Rd
Ste 304
Plainview, NY 11803
Phone (516) 822-9585

Organizations & group practices 2

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699802819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "397 GRAHAM AVENUE",
            "city": "BKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-349-2011",
            "fax_number": "718-349-8713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 GRAHAM AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-349-2011",
            "fax_number": "718-349-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERITORE",
        "first_name": "FRANK",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0403151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.