Individual provider Active NPI

James Anthony Deyulio, DDS

  • General Practice Dentistry
  • New Hartford, NY
National Provider Identifier
1902985856
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044935 Issued in NY
Practice address
2050 Tilden Ave
New Hartford, NY 13413-3613
Phone
(315) 797-3114
Fax
(315) 624-0474
NPI assigned
Nov 3, 2006
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044935 NY Primary

Addresses

Primary practice location

2050 Tilden Ave
New Hartford, NY 13413-3613

Mailing address

286 Genesee St
The Dental Arts Office
Utica, NY 13502-4639
Phone (315) 797-2555

Other practice location 1

286 Genesee St
The Dental Arts Office
Utica, NY 13502-4639
Phone (315) 797-2555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sitrin@sitrin.com Health Information Exchange (HIE) Charles T Sitrin Health Care Center, Inc

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
I20150121000699 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6709100829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044935NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dental Arts Office General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sitrin@sitrin.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1902985856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 GENESEE ST",
            "address_2": "THE DENTAL ARTS OFFICE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024639",
            "telephone_number": "315-797-2555",
            "fax_number": "315-797-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 TILDEN AVE",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134133613",
            "telephone_number": "315-797-3114",
            "fax_number": "315-624-0474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "286 Genesee St",
            "address_2": "The Dental Arts Office",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135024639",
            "country_code": "US",
            "telephone_number": "315-797-2555",
            "fax_number": "315-797-9345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEYULIO",
        "first_name": "JAMES",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sitrin@sitrin.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "Charles T Sitrin Health Care Center, Inc",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2050 Tilden Ave",
            "city": "New Hartford",
            "state": "NY",
            "country_code": "US",
            "postal_code": "134133613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.