BAKER VICTORY HEALTHCARE CENTER
NPI 1619191855
Dentist in Lackawanna, NY

Q: What is Baker Victory Healthcare Center's NPI number?

The NPI number for Baker Victory Healthcare Center is 1619191855. It was assigned to this organization in the NPPES registry on April 12, 2007.

Q: What is Baker Victory Healthcare Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 12, 2007

790 RIDGE ROAD, LACKAWANNA, NY 14218(716) 828-9350(716) 828-9355 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Baker Victory Healthcare Center NPPES

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

BAKER VICTORY HEALTHCARE CENTER (NPI 1619191855) is a healthcare organization registered as a dentist in Lackawanna, New York and active in the NPI registry since April 2007. The organization lists Terese M. Scofidio, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1619191855

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameBAKER VICTORY HEALTHCARE CENTER

Location Address790 RIDGE ROADLackawanna, NY 14218-1696

Mailing Address790 Ridge RoadLackawanna, NY 14218-1696 · (716) 828-9350 · Fax (716) 828-9355

Phone(716) 828-9350

Fax(716) 828-9355

Organization SubpartNo

Authorized OfficialTerese M. ScofidioChief Executive Officer · (716) 828-9515

Enumeration DateApril 12, 2007

Last NPPES UpdateOctober 30, 2015

✔ NPI 1619191855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 1402201R

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

790 RIDGE ROAD, Lackawanna, NY 14218

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Other Identifiers 1

Medicaid01899518NY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baker Victory Healthcare Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 4 clinicians reassign Medicare billing to Baker Victory Healthcare Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Jason Ciano, DDS, MPH

Dentist

NPI 1558045328

790 RIDGE RD
Lackawanna, NY 14218

(716) 828-9334

✔ PECOSSame address

Brian Mcdonald, DDS

Dentist

NPI 1689841942

6314 ARMOR RD
Orchard Park, NY 14127

(716) 662-5247

✔ PECOS6.3 mi

Jennifer Holmer Su, D.D.S.

Dentist

NPI 1073554291

1950 SHERIDAN DR #5
Buffalo, NY 14223

(716) 875-3660

✔ PECOS11 mi

Dawn Clemens, D.D.S.

Dentist

NPI 1932207651

3329 BLOSSOM LN
North Tonawanda, NY 14120

(716) 692-9493

✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Baker Victory Healthcare Center's NPI number?

The NPI number for Baker Victory Healthcare Center is 1619191855. It was assigned to this organization in the NPPES registry on April 12, 2007.

Where is Baker Victory Healthcare Center located?

Baker Victory Healthcare Center is located at 790 Ridge Road, Lackawanna, NY 14218. The listed phone number is (716) 828-9350.

What is Baker Victory Healthcare Center's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Baker Victory Healthcare Center enrolled in Medicare?

Yes. Baker Victory Healthcare Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baker Victory Healthcare Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dentist, reassign their Medicare billing to Baker Victory Healthcare Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Baker Victory Healthcare Center accept?

Health plans from UnitedHealthcare list Baker Victory Healthcare Center 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 Baker Victory Healthcare Center was last updated on October 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.