DR. JOHN MICHAEL DECARLO (NPI# 1164585956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164585956 |
| Entity Type | Individual |
| Full Name | DR. JOHN MICHAEL DECARLO |
| Credential | DDS |
| Practice Address |
79 Giffords Ln Staten Island NY 10308-2411 |
| Practice Telephone | 7189844404 |
| Practice Fax Number | 7189845092 |
| Mailing Telephone | 7189844404 |
| Mailing Fax Number | 7189845092 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 029487-1 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861599102 | John P Decarlo | Optometrist | 526 Newfield Ave, Stamford, CT 06905-3746 | 2006-09-20 |
| 1346204757 | John Dominic Decarlo | Ophthalmology | 2500 N Mayfair Rd, Suite 340, Wauwatosa, WI 53226-1409 | 2006-04-13 |
| 1467416081 | John Decarlo | Occupational Therapist | 3801 University Lake Dr, Anchorage, AK 99508-4639 | 2006-04-12 |
| Street Address |
79 GIFFORDS LN |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10308-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609410117 | Young Minds Early Enrichment | Early Intervention Provider Agency | 143 Wiman Avenue, Staten Island, NY 10308 | 2019-10-29 |
| 1346619483 | Babymedevac, Inc. | Ambulance | 150 L Greaves Lane, Suite 142, Staten Island, NY 10308 | 2015-09-18 |
| 1497179527 | Advanced Life Care Planning LLC | Home Health | 255 Katan Ave., Score Rehab, Staten Island, NY 10308 | 2014-02-10 |
| 1255777009 | Laura Marie De La Cruz | Specialist | 132 Sandalwood Dr, Staten Island, NY 10308 | 2013-05-21 |
| 1205179363 | Danielle Gorga | Registered Nurse | 68 Harbour Court, Staten Island, NY 10308 | 2013-03-27 |
| 1427307388 | Maria Madelyn Sylvester | Specialist | 4024 Amboy Road, Staten Island, NY 10308 | 2012-09-06 |
| 1679836241 | Concetta Maria Falzone | Specialist | 51 Margaret Street, Staten Island, NY 10308 | 2012-06-19 |
| 1972865392 | Michael D. Desarlo | Specialist | 175 Sandalwood Drive, Staten Island, NY 10308 | 2012-06-12 |
| 1881991867 | Markella Zannikos | Speech-Language Pathologist | 423 Corbin Avenue, Staten Island, NY 10308 | 2011-02-28 |
| 1013227800 | Therapy Link PC | Community/Behavioral Health | 3936 Amboy Road, Staten Island, NY 10308 | 2010-10-14 |
| Find all providers in zip 10308 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1356847297 | Mina Farid | Dentist | 12 Yucca Dr, Staten Island, NY 10312-1634 | 2018-03-31 |
| 1760935167 | Joseph Anthony Giovinazzo | Dentist | 247 Richmond Hill Rd, Staten Island, NY 10314-5904 | 2016-08-02 |
| 1508228131 | Mark Genco | Dentist | 418 Saint Marks Pl, Staten Island, NY 10301-2434 | 2016-03-23 |
| 1336553536 | Ishtjot Saini | Dentist | 211 Richmond Hill Rd Ste 2b, Staten Island, NY 10314-5905 | 2014-06-16 |
| 1508279506 | Ryan Barrett | Dentist | 59 Reading Ave, Staten Island, NY 10312-2043 | 2014-06-06 |
| 1023449196 | Barry Mandell | Dentist | 104 Russek Dr, Staten Island, NY 10312-1630 | 2013-11-27 |
| 1447690136 | Om G Chainani | Dentist | 205 Port Richmond Ave, Staten Island, NY 10302-1311 | 2013-06-27 |
| 1821435223 | Andrea P Divernieri | Dentist | 22 Hilltop Ter, Staten Island, NY 10304-1109 | 2013-05-27 |
| 1104103340 | Randy Gulkis | Dentist | 15 1st St, Staten Island, NY 10306-2201 | 2011-11-15 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10308 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.