Peter V. Masci, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039455 Issued in NY

Practice address

88 E Main St
Walden, NY 12586-1544

Phone

(845) 778-5763

Fax

(845) 778-1823

NPI assigned

Apr 20, 2007

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740407691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 E MAIN ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861544",
            "telephone_number": "845-778-5763",
            "fax_number": "845-778-1823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E MAIN ST",
            "city": "WALDEN",
            "state": "NY",
            "postal_code": "125861544",
            "telephone_number": "845-778-5763",
            "fax_number": "845-778-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCI",
        "first_name": "PETER",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Walden, NY
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.