Organization Active NPI

Anthony Santostefano DDS PLLC

  • Dentist
  • Mahopac, NY
National Provider Identifier
1710455456
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ANTHONY SANTOSTEFANO DDS PLLC
Practice address
2 Clark PL
Mahopac, NY 10541-4707
NPI assigned
Nov 12, 2018
Last updated
Aug 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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

Authorized official

Name
Anthony Santostefano, DDSNPI 1932521473
Title
Owner
Phone
(917) 495-0005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X Primary

Addresses

Primary practice location

2 Clark PL
Mahopac, NY 10541-4707

Mailing address

2 Clark PL
Mahopac, NY 10541-4707
Phone (845) 335-7558

Other practice location 1

30 Central Park S Rm 11D
New York, NY 10019-1649
Phone (917) 679-1463

National Provider Directory

National Provider Directory

Locations

2 Clark Pl
Mahopac, NY 10541
Phone (845) 335-7558

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692489600000",
    "number": "1710455456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CLARK PL",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414707",
            "telephone_number": "845-335-7558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CLARK PL",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Central Park S Rm 11D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191649",
            "country_code": "US",
            "telephone_number": "917-679-1463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANTHONY SANTOSTEFANO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-12",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "status": "A",
        "authorized_official_last_name": "SANTOSTEFANO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-495-0005",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2023; 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.