Organization Active NPI

Scutari Cardoso & Cunningham Oral & Maxillofacial Surgery LLP

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Fayetteville, NY
National Provider Identifier
1891616207
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
SCUTARI CARDOSO & CUNNINGHAM ORAL & MAXILLOFACIAL SURGERY LLP
Practice address
4000 Medical Center Drive
Suite B13
Fayetteville, NY 13066
Phone
(315) 671-4289
NPI assigned
Jul 22, 2026
Last updated
Jul 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Authorized official

Name
Dr. Pasquale Scutari Jr., DDS
Title
Owner/Oral Surgeon
Phone
(315) 263-4630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU Primary

Addresses

Primary practice location

4000 Medical Center Drive
Suite B13
Fayetteville, NY 13066

Mailing address

4000 Medical Center Drive
Suite B13
Fayetteville, NY 13066
Phone (315) 671-4289

Other practice location 1

578 Seneca St
Oneida, NY 13421-2600
Phone (315) 671-4289

Other practice location 2

7334 Buckley Rd
North Syracuse, NY 13212-2657
Phone (315) 671-4289

Other practice location 3

5109 W Genesee St Ste 101
Camillus, NY 13031-2372
Phone (315) 671-4289

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784678400000",
    "number": "1891616207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DRIVE",
            "address_2": "SUITE B13",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-671-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MEDICAL CENTER DRIVE",
            "address_2": "SUITE B13",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "13066",
            "telephone_number": "315-671-4289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "578 Seneca St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "NY",
            "postal_code": "134212600",
            "country_code": "US",
            "telephone_number": "315-671-4289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7334 Buckley Rd",
            "address_purpose": "LOCATION",
            "city": "North Syracuse",
            "state": "NY",
            "postal_code": "132122657",
            "country_code": "US",
            "telephone_number": "315-671-4289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5109 W Genesee St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Camillus",
            "state": "NY",
            "postal_code": "130312372",
            "country_code": "US",
            "telephone_number": "315-671-4289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SCUTARI CARDOSO & CUNNINGHAM ORAL & MAXILLOFACIAL SURGERY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-02",
        "status": "A",
        "authorized_official_last_name": "SCUTARI",
        "authorized_official_first_name": "PASQUALE",
        "authorized_official_title_or_position": "OWNER/ORAL SURGEON",
        "authorized_official_telephone_number": "315-263-4630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.