Stephen Anthony Festa, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

34936 Issued in NY

Practice address

3755 76TH St
Jackson Heights, NY 11372-6507

Phone

(718) 429-6116

Fax

(516) 498-9364

NPI assigned

Oct 15, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• David B. Goodman D.D.S. , Stephen a. Festa D.D.D.

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1588879530

  Pediatric Dentistry

  NPD (past) Authorized official

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

{
    "created_epoch": "1160870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760572044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 76TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726507",
            "telephone_number": "718-429-6116",
            "fax_number": "516-498-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3755 76TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726507",
            "telephone_number": "718-429-6116",
            "fax_number": "516-498-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTA",
        "first_name": "STEPHEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "34936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01233210",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Fernandez, CCC-SLP
• Jarenys Meredith Fernandez, PHYSICIAN ASSISTANT
• Eddy A Ferreira, DDS
• Ingrid Ferreira, OTR/L
• Ivette A Ferreira, DDS
• Edward O Festus, M.D,RPA
• Luz Arelis Filion, D.D.S
• First Choice Pediatrics, PC
• Ellen Fisher Turk
• Charles B. Fishman, R.PH.

• Pediatric Dentistry in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pediatric Dentistry in New York

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