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DR. JOHN EDWARD FANTASIA D.D.S.
NPI 1730258286
Dentist - Oral and Maxillofacial Pathology in New Hyde Park, NY

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
27005 76TH AVE, LIJMC, NEW HYDE PARK, NY 11040(718) 470-7116(718) 347-3483 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Edward Fantasia D.d.s. NPPES

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

DR. JOHN EDWARD FANTASIA D.D.S. (NPI 1730258286) is an individual oral and maxillofacial pathology provider in New Hyde Park, New York, licensed in New York (041799-1) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Emory University School Of Medicine (1975).

NPPES Registry Identity

NPI1730258286
Entity TypeIndividualMale
Primary Taxonomy1223P0106X
Provider Legal NameDR. JOHN EDWARD FANTASIACredential: D.D.S.
Location Address27005 76TH AVE, LIJMCNew Hyde Park, NY 11040-1433
Mailing Address27005 76th Ave, LijmcNew Hyde Park, NY 11040-1433 · (718) 470-7116 · Fax (718) 347-3483
Phone(718) 470-7116
Fax(718) 347-3483
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1975
Enumeration DateNovember 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730258286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in NY · 041799-1
Definition
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.
27005 76TH AVE, New Hyde Park, NY 11040
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Other Identifiers 3

Medicaid01098053NY
Medicare ID-Type Unspecified66469NY
Medicare UPINT97049NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. John Edward Fantasia D.d.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638368145
PECOS Enrollment IDI20110114000560
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.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
762 services715 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
213 services169 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
93 services13 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
73 services72 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
48 services48 patients
Antibody evaluation, each additional single antibody stain procedure 88350
An antibody evaluation involves testing a sample of your body fluid (like blood) to identify specific antibodies. Each additional single antibody stain procedure is a separate test for another specific antibody. This helps in diagnosing various health conditions by understanding your body's immune response.
42 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

YELENA PYATOV MD
Family Medicine
27005 76TH AVE, DEPARTMENT OF PEDIATRICS
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7700
DR. FARHEEN HASAN MD
Internal Medicine
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
LONG ISLAND JEWISH MEDICAL CENTER
General Acute Care Hospital
27005 76TH AVE, DEPARTMENT OF MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7875
ELIZABETH ALISON HOWSE M.D.
Emergency Medicine
27005 76TH AVE, DEPARMENT OF EMERGENCY MEDICINE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7501
ANDY CHOY MD
Radiology (Diagnostic Radiology)
27005 76TH AVE, SUITE C204
NEW HYDE PARK, NY 11040
Nassau County (973) 692-8694
JOANNA M MIDY WHNP
Nurse Practitioner (Women's Health)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (516) 470-5304
XIXI XU
Nurse Anesthetist, Certified Registered
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000
TYLER WEINSTEIN
Physician Assistant (Medical)
27005 76TH AVE
NEW HYDE PARK, NY 11040
Nassau County (718) 470-7000

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 John Fantasia's NPI number?

The NPI number for John Fantasia is 1730258286. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is John Fantasia located?

John Fantasia practices at 27005 76th Ave Lijmc, New Hyde Park, NY 11040. The listed phone number is (718) 470-7116.

What is John Fantasia's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

Is John Fantasia enrolled in Medicare?

Yes. John Fantasia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Fantasia affiliated with any hospitals?

According to CMS data, John Fantasia is affiliated with Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for John Fantasia was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.