Active NPI
American Orthodontic Associates of West Islip,LLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- West Islip, NY
National Provider Identifier
1740438258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 046229-1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 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 DirectoryLocations
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.