DR. JOHN EDWARD FANTASIA D.D.S. NPI 1730258286

NPI Information

  • NPI: 1730258286
  • Provider Name: DR. JOHN EDWARD FANTASIA, D.D.S.
  • Classification: Dentist - 1223P0106X
  • Specialization: Oral and Maxillofacial Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27005 76TH AVE
    LIJMC
    NEW HYDE PARK, NY
    ZIP 11040
  • Phone: (718) 470-7116

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NPI Details

DR. John Edward Fantasia, D.D.S. is an oral and maxillofacial pathology dentist in New Hyde Park, NY with 51 years of experience. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. DR. John Edward Fantasia, D.D.S. NPI is 1730258286. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1975

The provider's business location address is:

27005 76TH AVE
LIJMC
NEW HYDE PARK, NY
ZIP 11040-433
Phone: (718) 470-7116
Fax: (718) 347-3483

The NPI 1730258286 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), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • Surgical pathology consultation and report on referred slides prepared elsewhere (HCPCS:88321)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Pathology examination of specimen during surgery, first tissue block (HCPCS:88331)
  • Special stained specimen slides to examine tissue, initial procedure (HCPCS:88342)
  • Preparation of tissue for examination by removing any calcium present (HCPCS:88311)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2007.

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
11223P0106XDentistOral and Maxillofacial Pathology041799-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101098053MEDICAIDNEW YORK
266469MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
3T97049MEDICARE UPINNEW YORK

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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