Matthew Thomas Scaffa, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

039411-1 Issued in NY

Practice address

112 Foster Rd
Staten Island, NY 10309-3017

Phone

(718) 948-4393

Fax

(718) 948-7636

NPI assigned

Mar 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

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.

• Dental Art Concepts PLLC

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1568072338
  NPD Authorized official

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1851423339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FOSTER RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093017",
            "telephone_number": "718-948-4393",
            "fax_number": "718-948-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 FOSTER RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103093017",
            "telephone_number": "718-948-4393",
            "fax_number": "718-948-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAFFA",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039411-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Sax, PT
• Nazia Sayed, D.P.T
• Henry Sayre, PSYD
• Amy E Sblendorio, MED, CAGS, BCBA
• Frank A. Sblendorio
• Danielle Nicole Scafidi
• Frank Scafuri III, D.O.
• Jacqueline Scafuri, M.A. CCC-SLP
• Frances Scala, P.T.
• Kathryn Anne Scala, MS OT, OTR/L

• 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 Jan 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.