Matthew Depietro

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

063302 Issued in NY

Practice address

16 Squadron Blvd Ste 105
New City, NY 10956-5268

Phone

(845) 634-8866

NPI assigned

Mar 8, 2022

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

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1932856143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BROOKHILL DR",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942102",
            "telephone_number": "516-314-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SQUADRON BLVD STE 105",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565268",
            "telephone_number": "845-634-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPIETRO",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara F Delo
• Beatrice Delorme
• Gregory I Demarco, PT, DPT, ATC
• Yta Demetrius
• Joseph A. Denoia, D.C.
• Francesca Teresa Desimone-Farrow
• Rebecca Desimone, LMSW
• DG Pain Management PC
• Satnam Singh Dhami, M.D.
• Surjit K Dhami, MD

• General Practice Dentistry in New City, NY
• Providers in New City, 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 3, 2024; 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.