Individual provider Active NPI

Stephen Scotto-Lavino, DDS

  • Dentist
  • Selden, NY
National Provider Identifier
1699841163
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
036726 Issued in NY
Practice address
260 Middle Country Rd
Suite 20
Selden, NY 11784-2568
Phone
(631) 698-9400
Fax
(631) 698-3272
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

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 036726 NY Primary

Addresses

Primary practice location

260 Middle Country Rd
Suite 20
Selden, NY 11784-2568

Mailing address

260 Middle Country Rd
Suite 20
Selden, NY 11784-2568
Phone (631) 698-9400

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
I20150602002484 NY Order and Referring Only - DentistPractitioner - Dentist 8628399615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699841163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY RD",
            "address_2": "SUITE 20",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842568",
            "telephone_number": "631-698-9400",
            "fax_number": "631-698-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MIDDLE COUNTRY RD",
            "address_2": "SUITE 20",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842568",
            "telephone_number": "631-698-9400",
            "fax_number": "631-698-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTO-LAVINO",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "036726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selden, NY

Sources for this page

Verify at the official NPI Registry.