Philip John Squatrito, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

053918-1 Issued in NY

Practice address

142 Annadale Rd
Staten Island, NY 10312-1569

Phone

(718) 948-1600

NPI assigned

Apr 15, 2008

Last updated

Jun 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1700050382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ANNADALE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121569",
            "telephone_number": "718-948-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 ANNADALE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121569",
            "telephone_number": "718-948-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUATRITO",
        "first_name": "PHILIP",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "053918-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell Hart Spotnitz, MD
• Michele Kim Sprague, P.T.
• Christine Ann Sprufero, CCC - SLP
• Carolina Square
• Charles Joseph Squatrito Jr., PHARM.D.
• Ashley Marie Squitieri, M.A.
• Angela Anushini Sriskanda
• Nicole Sriskanda, CHT
• Saroj Srivastava
• St Dental

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, 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 Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.