Frank P. Petronella DDS PC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

FRANK P. PETRONELLA DDS PC

Practice address

101 Main St
Tuckahoe, NY 10707-2901

Phone

(914) 771-5600

NPI assigned

Aug 16, 2010

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Sparer

Title

Office Manager

Phone

(914) 771-5600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frank P Petronella, DDS

  • Dentist
  • Tuckahoe, NY
  • NPI 1245438639
  Medicare reassignment

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1972818854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072901",
            "telephone_number": "914-771-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MAIN ST",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072901",
            "telephone_number": "914-771-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK P. PETRONELLA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SPARER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "914-771-5600"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hardwick Fischer, PHD
• Thomas Aquinas Fischer, PHD
• Fitness & Recovery, LLC
• Ivan Flores
• Lisa Marie Fragola, L.M.F.T
• Carole Sonnenfeld Geithner, MSW, LCSWR,
• James Eric Genova, LCSW
• Jeannine K Giacovelli, M.D.
• Nancy Gill
• Stephan Giuffrida I, D.C.

• Oral and Maxillofacial Surgery Clinic/Center in Tuckahoe, NY
• Providers in Tuckahoe, NY by specialty
• Oral and Maxillofacial Surgery Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.