Tager, Lew, Degaetano

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0268881 Issued in NY

Legal business name

TAGER, LEW, DEGAETANO

Practice address

3930 Richmond Ave
Staten Island, NY 10312-5100

Phone

(718) 356-1477

Fax

(718) 317-0220

NPI assigned

Feb 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Frank Degaetano, DDS

Title

Dentist

Phone

(718) 356-1477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1821064049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125100",
            "telephone_number": "718-356-1477",
            "fax_number": "718-317-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125100",
            "telephone_number": "718-356-1477",
            "fax_number": "718-317-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAGER, LEW, DEGAETANO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "DEGAETANO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-356-1477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0268881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dyan Taerstein
• Johnny J. Tafa, MD
• Maryam Tafa
• Adelina Taganovic, M.S. SLP-CFY
• Samira Taganovic
• Alyssa Tagliaferro, OTR/L
• Cory Robert Taglianetti, MSPT
• Taha Oncology PC
• Ola Taha Taha, BCBA
• Salma Taha

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.