Individual provider Active NPI

Anthony Santostefano, D.D.S.

  • Dentist
  • Mahopac, NY
National Provider Identifier
1932521473
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
056947-1 Issued in NY
Practice address
2 Clark PL
Mahopac, NY 10541-4707
Phone
(845) 335-7558
Fax
(207) 209-6158
NPI assigned
Jan 18, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 056947-1 NY Primary

Addresses

Primary practice location

2 Clark PL
Mahopac, NY 10541-4707

Mailing address

2 Clark PL Apt 2
Mahopac, NY 10541-4772
Phone (917) 495-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056947-1NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Santostefano DDS PLLC Dentist CurrentSince Sep 5, 2023 Accepting new patients
Hamden Plaza Family Dental, PC PastSince Oct 2, 2022 Accepting new patients
Dr. Dental of Connecticut, PC Past Accepting new patients

Locations

2 Clark Pl
Mahopac, NY 10541
Phone (845) 335-7558

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1390003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1932521473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CLARK PL APT 2",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414772",
            "telephone_number": "917-495-0005",
            "fax_number": "207-209-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CLARK PL",
            "city": "MAHOPAC",
            "state": "NY",
            "postal_code": "105414707",
            "telephone_number": "845-335-7558",
            "fax_number": "207-209-6158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOSTEFANO",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-18",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "056947-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mahopac, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.