Individual provider Active NPI

Anthony Michael Pagano, DDS

  • Prosthodontics
  • Hicksville, NY
National Provider Identifier
1972698082
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
044585 Issued in NY
Practice address
376 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone
(516) 931-3360
Fax
(516) 931-3617
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 044585 NY Primary

Addresses

Primary practice location

376 S Oyster Bay Rd
Hicksville, NY 11801-3508

Mailing address

376 S Oyster Bay Rd
Hicksville, NY 11801-3508
Phone (516) 931-3360

Other names 1

  • Dr. Anthony M Pagano Professional name

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
I20160608002523 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 9133419831

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1972698082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508",
            "telephone_number": "516-931-3360",
            "fax_number": "516-931-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 S OYSTER BAY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013508",
            "telephone_number": "516-931-3360",
            "fax_number": "516-931-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGANO",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "044585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "PAGANO",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DDS PLLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.