VITKUS, SCUTARI & CARDOSO ORAL SURGERY PC
NPI 1275618019
Dentist - Oral and Maxillofacial Surgery in Fayetteville, NY

Active since October 26, 2006CLIA 33D2167831 · Waiver
4000 MEDICAL CENTER DRIVE, SUITE B13, FAYETTEVILLE, NY 13066(315) 671-4289(315) 637-1261 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 6, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Vitkus, Scutari & Cardoso Oral Surgery Pc NPPES

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

VITKUS, SCUTARI & CARDOSO ORAL SURGERY PC (NPI 1275618019) is a healthcare organization registered as an oral and maxillofacial surgery in Fayetteville, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through June 16, 2027, maintains 3 additional practice locations, and lists Pasquale Scutari, Oral Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1275618019
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameVITKUS, SCUTARI & CARDOSO ORAL SURGERY PC
Location Address4000 MEDICAL CENTER DRIVE, SUITE B13Fayetteville, NY 13066-1537
Mailing Address4000 Medical Center Drive, Suite B13Fayetteville, NY 13066-1537 · (315) 671-4289 · Fax (315) 637-1261
Fax(315) 637-1261
Organization SubpartNo
Authorized OfficialPasquale ScutariOral Maxillofacial Surgeon · (315) 637-4476
Enumeration DateOctober 26, 2006
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
NPI 1275618019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 045842-1
Definition

An oral and maxillofacial surgery dentist specialized in 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.

4000 MEDICAL CENTER DRIVE, Fayetteville, NY 13066

Secondary Practice Locations 3

Location 15109 W Genesee St Ste 101Camillus, NY 13031-2372 · Phone (315) 671-4289
Location 2578 Seneca StOneida, NY 13421-2600 · Phone (315) 671-4289
Location 37334 Buckley RdNorth Syracuse, NY 13212-2657 · Phone (315) 671-4289

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2167831

Vitkus, Scutari & Cardoso Oral Surgery PC · Fayetteville, NY
Active · expires Jun 16, 2027
CLIA Number33D2167831
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorDr. Andre Cardoso
Laboratory Phone(315) 637-4476
Laboratory LocationVitkus, Scutari & Cardoso Oral Surgery PC4000 Medical Center Drive Suite B13, Fayetteville, NY 13066
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
4000 MEDICAL CENTER DRIVE, SUITE 504
FAYETTEVILLE, NY 13066
Internal Medicine
4000 MEDICAL CENTER DRIVE
FAYETTEVILLE, NY 13066
Chiropractor
4000 MEDICAL CENTER DRIVE, SUITE 301
FAYETTEVILLE, NY 13066
Durable Medical Equipment & Medical Supplies
4000 MEDICAL CENTER DRIVE, SUITE 301
FAYETTEVILLE, NY 13066
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4000 MEDICAL CENTER DRIVE, SUITE 115
FAYETTEVILLE, NY 13066
Nurse Practitioner (Family)
4000 MEDICAL CENTER DRIVE, SUITE 117
FAYETTEVILLE, NY 13066
Student in an Organized Health Care Education/Training Program
4000 MEDICAL CENTER DRIVE, SUITE 502
FAYETTEVILLE, NY 13066
Nurse Practitioner (Family)
4000 MEDICAL CENTER DRIVE, SUITE 402
FAYETTEVILLE, NY 13066

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 Vitkus, Scutari & Cardoso Oral Surgery PC's NPI number?

The NPI number for Vitkus, Scutari & Cardoso Oral Surgery PC is 1275618019. It was assigned to this organization in the NPPES registry on October 26, 2006.

Where is Vitkus, Scutari & Cardoso Oral Surgery PC located?

Vitkus, Scutari & Cardoso Oral Surgery PC is located at 4000 Medical Center Drive Suite B13, Fayetteville, NY 13066. The listed phone number is (315) 671-4289.

What is Vitkus, Scutari & Cardoso Oral Surgery PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Does Vitkus, Scutari & Cardoso Oral Surgery PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2167831) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vitkus, Scutari & Cardoso Oral Surgery PC was last updated on May 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.