DR. MICHAEL JOHN DESIVO D.D.S.
NPI 1225448855
Dentist - General Practice in East Islip, NY

Active since May 05, 2014
228 EAST MAIN ST, EAST ISLIP, NY 11730(631) 983-6281(631) 581-8603 Get Directions Write a Review

NPPES record last updated: April 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2017, Mar 29, 2017 (2 updates tracked since 2017).

About Dr. Michael John Desivo D.d.s. NPPES

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

DR. MICHAEL JOHN DESIVO D.D.S. (NPI 1225448855) is an individual general practice provider in East Islip, New York, licensed in New York (057983-1) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1225448855
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL JOHN DESIVOCredential: D.D.S.
Location Address228 EAST MAIN STEast Islip, NY 11730
Mailing Address228 East Main StEast Islip, NY 11730 · (631) 983-6281 · Fax (631) 581-8603
Fax(631) 581-8603
Sole ProprietorNo
Enumeration DateMay 5, 2014
Last NPPES UpdateApril 11, 20172 updates tracked since enumeration
NPI 1225448855 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 · 057983-1
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.
228 EAST MAIN ST, East Islip, NY 11730

Accepted Insurance

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 Michael Desivo's NPI number?

The NPI number for Michael Desivo is 1225448855. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Where is Michael Desivo located?

Michael Desivo practices at 228 East Main St, East Islip, NY 11730. The listed phone number is (631) 983-6281.

What is Michael Desivo's specialty?

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

What insurance does Michael Desivo accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Michael Desivo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Desivo was last updated on April 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.