KELLY MASTROVITO DDS
NPI 1871059113
Dentist - Pediatric Dentistry in Garden City, NY

Q: What is Kelly Mastrovito's NPI number?

The NPI number for Kelly Mastrovito is 1871059113. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Q: What is Kelly Mastrovito's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Mastrovito was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 February 12, 2019PECOS Enrolled

585 STEWART AVE STE LL60, GARDEN CITY, NY 11530(516) 222-5100 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2025, Feb 12, 2019 (2 updates tracked since 2019).

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About Kelly Mastrovito Dds NPPES

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

KELLY MASTROVITO DDS (NPI 1871059113) is an individual pediatric dentistry provider in Garden City, New York, licensed in New York (062043-01) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871059113

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameKELLY MASTROVITOCredential: DDS

Location Address585 STEWART AVE STE LL60Garden City, NY 11530-4786

Mailing Address305 Henry St Apt 3rBrooklyn, NY 11201-5567 · (845) 608-3114

Phone(516) 222-5100

Sole ProprietorNo

Enumeration DateFebruary 12, 2019

Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1871059113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in NY · 062043-01

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

585 STEWART AVE STE LL60, Garden City, NY 11530

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Mastrovito Dds 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 11530 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.

Other Providers at the Same Location NPPES 2

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

DIVYA KHERA

Dentist (Pediatric Dentistry)

585 STEWART AVE STE LL60
GARDEN CITY, NY 11530

Nassau County (516) 222-5100

DR. STACEY REYNOLDS DDS

Dentist (Pediatric Dentistry)

585 STEWART AVE STE LL60
GARDEN CITY, NY 11530

Nassau County (516) 222-5100

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 Kelly Mastrovito's NPI number?

The NPI number for Kelly Mastrovito is 1871059113. It was assigned to this individual provider in the NPPES registry on February 12, 2019.

Where is Kelly Mastrovito located?

Kelly Mastrovito practices at 585 Stewart Ave Ste Ll60, Garden City, NY 11530. The listed phone number is (516) 222-5100.

What is Kelly Mastrovito's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Kelly Mastrovito enrolled in Medicare?

Yes. Kelly Mastrovito is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Mastrovito accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Kelly Mastrovito 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 Kelly Mastrovito was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.