Organization Active NPI

Dr. Stephen a Festa-Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Jackson Heights, NY
National Provider Identifier
1760026777
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DR. STEPHEN A FESTA-PEDIATRIC DENTISTRY PLLC
Practice address
3755 76TH St BSMT Apt
Jackson Heights, NY 11372-6552
Phone
(718) 429-6116
Fax
(718) 429-0843
NPI assigned
Nov 1, 2019
Last updated
Nov 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Authorized official

Name
Dr. Stephen A Festa, DDSNPI 1760572044
Title
Employee
Phone
(718) 429-6116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

3755 76TH St BSMT Apt
Jackson Heights, NY 11372-6552

Mailing address

3755 76TH St BSMT Apt
Jackson Heights, NY 11372-6552
Phone (718) 429-6116

National Provider Directory

National Provider Directory

Locations

3755 76th St
Bsmt
Jackson Heights, NY 11372
Phone (718) 429-6116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572566400000",
    "number": "1760026777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 76TH ST BSMT APT",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726552",
            "telephone_number": "718-429-6116",
            "fax_number": "718-429-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 76TH ST BSMT APT",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726552",
            "telephone_number": "718-429-6116",
            "fax_number": "718-429-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHEN A FESTA-PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A",
        "authorized_official_last_name": "FESTA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "718-429-6116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; 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.