DR. RALPH THOMAS COSTAGLIOLA (NPI# 1730178120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730178120 |
Entity Type | Individual |
Full Name | DR. RALPH THOMAS COSTAGLIOLA |
Credential | D.D.S. |
Practice Address |
71 Todt Hill Rd Suite 106 Staten Island NY 10314-4534 |
Practice Telephone | 7188153221 |
Practice Fax Number | 7188151710 |
Mailing Telephone | 7188153221 |
Mailing Fax Number | 7188151710 |
Enumeration Date | 2005-10-18 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
042842 | NY | Dental Providers |
Street Address |
71 TODT HILL RD SUITE 106 |
City | STATEN ISLAND |
State | NY |
Zip Code | 10314-4534 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922480102 | Justin Schussheim Dds PC | Dentist | 71 Todt Hill Rd, Suite 203, Staten Island, NY 10314-4510 | 2015-06-23 |
1760647044 | Alexander Gekht | Dentist | 71 Todt Hill Rd, Ste 106, Staten Island, NY 10314-4534 | 2008-07-25 |
1144345539 | Robert Conciatori | Psychiatry & Neurology | 71 Todt Hill Rd, Suite 201, Staten Island, NY 10314-4534 | 2007-03-21 |
1407933385 | Richard Lapinsky | Internal Medicine | 71 Todt Hill Rd, Staten Island, NY 10314-4534 | 2006-10-31 |
1386755817 | Peggy Ann Garjian | Internal Medicine | 71 Todt Hill Rd, Ste 201, Staten Island, NY 10314-4534 | 2006-08-31 |
1659334258 | Paul M Tarantola | Dentist | 71 Todt Hill Rd, Staten Island, NY 10314-4534 | 2006-04-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
Find all providers in zip 10314 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104338946 | Liberty Oral Surgery | Dentist | 201 Edward Curry Ave Ste 101, Staten Island, NY 10314-7102 | 2017-11-02 |
1225316961 | Paramount Oral Surgery and Dental Implant Center, LLC | Dentist | 201 Edward Curry Ave, Suite 101, Staten Island, NY 10314-7105 | 2011-07-29 |
1891000881 | Jerry Sherman | Dentist | 638 Bard Ave, 1st Floor, Staten Island, NY 10310-3020 | 2010-08-13 |
1740316413 | John A Lavinio | Dentist | 4300 Hylan Blvd, Staten Island, NY 10312-6505 | 2007-02-26 |
1760557417 | Richard Stephen Berk | Dentist | 3377 Richmond Avenue, Staten Island, NY 10312 | 2006-11-21 |
1063475424 | Jeremiah D'anna | Dentist | 4571 Hylan Blvd, Staten Island, NY 10312-6405 | 2006-04-07 |
1457785024 | Oral Surgery Associates P.C. | Dentist | 4300 Hylan Blvd, Suite 2g, Staten Island, NY 10312-6507 | 2013-08-30 |
1649542523 | Lydia Jane Lam | Dentist | 256 C Mason Ave, 3rd Floor, Staten Island, NY 10305 | 2012-02-07 |
1316217763 | Staten Island Oral & Maxillofacial Surgery | Dentist | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2012-01-03 |
1700179124 | Advanced Oral Surgery of Staten Island | Dentist | 2025 Richmond Ave, Suite Ll2, Staten Island, NY 10314-3937 | 2011-05-18 |
Find all providers in STATEN ISLAND |
City | STATEN ISLAND |
Zip Code | 10314 |
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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.