Organization Active NPI

American Orthodontic Associates of West Islip,LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • West Islip, NY
National Provider Identifier
1740438258
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
046229-1 Issued in NY
Legal business name
AMERICAN ORTHODONTIC ASSOCIATES OF WEST ISLIP,LLC
Practice address
1145 Montauk Hwy
West Islip, NY 11795-4909
Phone
(631) 661-3025
Fax
(631) 661-2095
NPI assigned
Sep 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

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

Authorized official

Name
Dr. Joseph Michael Vitagliano, DMD
Title
President
Phone
(631) 661-3025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 046229-1 NY Primary

Addresses

Primary practice location

1145 Montauk Hwy
West Islip, NY 11795-4909

Mailing address

1145 Montauk Hwy
West Islip, NY 11795-4909
Phone (631) 661-3025

National Provider Directory

National Provider Directory

Locations

1145 Montauk Hwy
West Islip, NY 11795
Phone (631) 321-0033

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1740438258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954909",
            "telephone_number": "631-661-3025",
            "fax_number": "631-661-2095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954909",
            "telephone_number": "631-661-3025",
            "fax_number": "631-661-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ORTHODONTIC ASSOCIATES OF WEST ISLIP,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "VITAGLIANO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-661-3025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "046229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.