Individual provider Active NPI

Pasquale Patrick Vascimini, DDS

  • Dentist
  • Rye Brook, NY
National Provider Identifier
1760642615
Registry record updated Feb 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
041565-1 Issued in NY
Practice address
10 Rye Ridge PLZ
Suite 101
Rye Brook, NY 10573-2828
Phone
(914) 251-0636
Fax
(914) 251-0642
NPI assigned
Jun 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 041565-1 NY Primary

Addresses

Primary practice location

10 Rye Ridge PLZ
Suite 101
Rye Brook, NY 10573-2828

Mailing address

3010 Westchester Ave
Ste 309
Purchase, NY 10577-2502
Phone (914) 251-0636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321001765 NY Order and Referring Only - DentistPractitioner - Dentist 0042517971

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041565-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1760642615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 WESTCHESTER AVE",
            "address_2": "STE 309",
            "city": "PURCHASE",
            "state": "NY",
            "postal_code": "105772502",
            "telephone_number": "914-251-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RYE RIDGE PLZ",
            "address_2": "SUITE 101",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732828",
            "telephone_number": "914-251-0636",
            "fax_number": "914-251-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCIMINI",
        "first_name": "PASQUALE",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041565-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye Brook, NY

Sources for this page

Verify at the official NPI Registry.