Active NPI
Catherine M. Fascilla, DDS
- Dentist
- Carle Place, NY
National Provider Identifier
1801038419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 042360-1
- Practice address
- 505 Westbury Ave
Carle Place, NY 11514-1736 - Phone
- (516) 333-1166
- Fax
- (516) 333-2267
- NPI assigned
- Mar 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 042360-1 | NY | Primary |
Addresses
Primary practice location
505 Westbury Ave
Carle Place, NY 11514-1736
Mailing address
505 Westbury Ave
Carle Place, NY 11514-1736
Phone (516) 333-1166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042360-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1801038419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 WESTBURY AVE",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141736",
"telephone_number": "516-333-1166",
"fax_number": "516-333-2267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 WESTBURY AVE",
"city": "CARLE PLACE",
"state": "NY",
"postal_code": "115141736",
"telephone_number": "516-333-1166",
"fax_number": "516-333-2267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASCILLA",
"first_name": "CATHERINE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "042360-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carle Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.