Anthony Joseph Crivello, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063306 Issued in NY

Practice address

228 E Main St
East Islip, NY 11730-2711

Phone

(631) 581-8600

NPI assigned

Apr 2, 2022

Last updated

Sep 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gary a. Rosenfeld, DDS, PC

  dba East Islip Dental Care

  • Dental Clinic/Center
  • East Islip, NY
  • NPI 1649606070
  NPD (past)

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

{
    "created_epoch": "1648857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1922749209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302711",
            "telephone_number": "631-581-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302711",
            "telephone_number": "631-581-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIVELLO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-02",
        "last_updated": "2023-09-28",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Francis Cody, OTR/L
• Matthew F Colucci, P.T.
• Mireille Mompoint Constant, MD
• Country Village Pharmacy Inc
• Scott Coyne, MD
• Kathleen Cronin, LMSW
• Juliette Sophia Cruz, DPT
• Vanessa Lynn Cuffie
• Keera Ann Cummings
• CVS Albany LLC (CVS Pharmacy # 00146)

• General Practice Dentistry in East Islip, NY
• Providers in East Islip, 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 Sep 28, 2023; 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.