John Battista Fontana Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

043759 Issued in NY

Practice address

2 Stowe Road
Suite 10
Peekskill, NY 10566-2582

Phone

(914) 739-9260

Fax

(914) 739-9263

NPI assigned

Apr 18, 2007

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

Other names 1

• John B Fontana Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962628875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 STOWE ROAD",
            "address_2": "SUITE 10",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662582",
            "telephone_number": "914-739-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STOWE ROAD",
            "address_2": "SUITE 10",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662582",
            "telephone_number": "914-739-9260",
            "fax_number": "914-739-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTANA",
        "first_name": "JOHN",
        "middle_name": "BATTISTA",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "FONTANA",
            "middle_name": "B",
            "credential": "DMD PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ixia Ferran RN BSN, RN
• Firstfruits Nutrition PLLC
• Sarah E. Fisher, LCSW
• Nancy Flaherty
• Sara Rebecca Folks, MSW
• Joseph C. Fontana, DDS
• Kelly Foster, LMHC
• Ralph Fragoso
• Alison Ann Fuentes
• Corey Fuller

• Dentist in Peekskill, NY
• Providers in Peekskill, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.