Active NPI
Angela Maria Pitre, DDS
- Dentist
- West Islip, NY
National Provider Identifier
1972820751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 051464
- Practice address
- 456 Union Blvd.
West Islip, NY 11795 - Phone
- (631) 422-1104
- NPI assigned
- May 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 051464 | NY | Primary |
Addresses
Primary practice location
456 Union Blvd.
West Islip, NY 11795
Mailing address
31 Horton Street
West Islip, NY 11795
Phone (516) 642-8536
Other names 1
- Mrs. Angela Maria Pitre
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
| License | State | Type | Specialty |
|---|---|---|---|
| 051464 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379548800000",
"number": "1972820751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 HORTON STREET",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "11795",
"telephone_number": "516-642-8536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 UNION BLVD.",
"city": "WEST ISLIP",
"state": "NY",
"postal_code": "11795",
"telephone_number": "631-422-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITRE",
"first_name": "ANGELA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-03",
"last_updated": "2013-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "051464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "PITRE",
"middle_name": "MARIA",
"prefix": "MRS.",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in West Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.