Michael Joseph Connelly, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

049965 Issued in NY

Practice address

206 Veterans Rd
Suite #5
Yorktown Heights, NY 10598-4106

Phone

(914) 962-5566

Fax

(914) 962-6010

NPI assigned

Dec 21, 2006

Last updated

Aug 6, 2007By 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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 26, 2016 through Apr 26, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alan R. Schadlow, M.D., P.C.

  • Internal Medicine Physician
  • Yorktown HTS, NY
  • NPI 1942522263
  NPD (past)
• Yorktown Dental Group LLP

  • General Practice Dentistry
  • Yorktown Heights, NY
  • NPI 1437176096
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1720142839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 VETERANS RD",
            "address_2": "SUITE #5",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984106",
            "telephone_number": "914-962-5566",
            "fax_number": "914-962-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 VETERANS RD",
            "address_2": "SUITE #5",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105984106",
            "telephone_number": "914-962-5566",
            "fax_number": "914-962-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNELLY",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "049965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Lucille Coccaro, MSN, FNP
• Cohen Pediatric Dentistry, PC
• Christopher C Colasuonno, LCSW-R
• William L Collins, LCSW-R
• Community Based Services, Inc.
• Kathryn Contento, SLP
• Convenient Care Medical
• Lizbeth Conway
• Darlene Troia Cook, OT/L
• Laura Cordella, MS, RDN, CDN

• Orthodontics and Dentofacial Orthopedics Dentistry in Yorktown Heights, NY
• Providers in Yorktown Heights, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.