DR. ANTONIO JOSE CASANOVA NPI 1104201300

NPI Information

  • NPI: 1104201300
  • Provider Name: DR. ANTONIO JOSE CASANOVA
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 901 STEWART AVE
    SUITE 200
    GARDEN CITY, NY
    ZIP 11530
  • Phone: (516) 294-0202

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NPI Details

DR. Antonio Jose Casanova is a general practice dentist in Garden City, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Antonio Jose Casanova NPI is 1104201300. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 STEWART AVE
SUITE 200
GARDEN CITY, NY
ZIP 11530-893
Phone: (516) 294-0202
Fax: (516) 294-3564

The NPI 1104201300 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/29/2015 and was last updated on 7/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice045918NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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