Active NPI
James Robert Skala III, DDS
- General Practice Dentistry
- Rego Park, NY
National Provider Identifier
1730717596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 061997
- Practice address
- 9801 67TH Ave Apt 1G
Rego Park, NY 11374-4901 - Phone
- (718) 896-5122
- NPI assigned
- Mar 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 061997 | NY | Primary |
Addresses
Primary practice location
9801 67TH Ave Apt 1G
Rego Park, NY 11374-4901
Mailing address
3115 30TH St Apt 3R
Astoria, NY 11106-2828
Other practice location 1
15301 10th Ave
Whitestone, NY 11357-1255
Phone (718) 762-0202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7443630 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Medical & Dental Center Inc | Current | Accepting new patients | |
| Suny Downstate Medical Center | Past | Accepting new patients |
Locations
260 Avenue X
Brooklyn, NY 11223
Phone (718) 336-8855
200 Livingston St
Brooklyn, NY 11201
Phone (718) 522-3399
827 11th Ave
New York, NY 10019
Phone (212) 257-9778
Interoperability endpoints
- jskala91228@direct.medisys.org
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.
-
- Health Service Clinic/Center
- Brooklyn, NY
- NPI 1144399098
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1699704155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1730717596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3115 30TH ST APT 3R",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111062828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 67TH AVE APT 1G",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744901",
"telephone_number": "718-896-5122"
}
],
"practiceLocations": [
{
"address_1": "15301 10th Ave",
"address_purpose": "LOCATION",
"city": "Whitestone",
"state": "NY",
"postal_code": "113571255",
"country_code": "US",
"telephone_number": "718-762-0202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SKALA",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-29",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "061997",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7443630",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.