DR. NICHOLAS A TEDESCO D.D.S
NPI 1003195496
Dentist - General Practice in New York, NY

Q: What is Nicholas Tedesco's NPI number?

The NPI number for Nicholas Tedesco is 1003195496. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Q: What is Nicholas Tedesco's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Tedesco was last updated on August 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 16, 2011PECOS Enrolled

230 WEST 41ST ST., 2ND FLOOR, NEW YORK, NY 10036(212) 398-9690(212) 221-0291 Get Directions Write a Review

NPPES record last updated: August 16, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Nicholas A Tedesco D.d.s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS A TEDESCO D.D.S (NPI 1003195496) is an individual general practice provider in New York, New York, licensed in New York (031095) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003195496

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. NICHOLAS A TEDESCOCredential: D.D.S

Location Address230 WEST 41ST ST., 2ND FLOORNew York, NY 10036

Mailing Address230 West 41st St., 2nd FloorNew York, NY 10036 · (212) 398-9690 · Fax (212) 221-0291

Phone(212) 398-9690

Fax(212) 221-0291

Sole ProprietorNo

Enumeration DateAugust 16, 2011

✔ NPI 1003195496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 031095

Definition

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.

230 WEST 41ST ST., New York, NY 10036

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas A Tedesco D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10036 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Tedesco's NPI number?

The NPI number for Nicholas Tedesco is 1003195496. It was assigned to this individual provider in the NPPES registry on August 16, 2011.

Where is Nicholas Tedesco located?

Nicholas Tedesco practices at 230 West 41st St. 2nd Floor, New York, NY 10036. The listed phone number is (212) 398-9690.

What is Nicholas Tedesco's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Nicholas Tedesco enrolled in Medicare?

Yes. Nicholas Tedesco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Tedesco was last updated on August 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.