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DR. JUSTINE PAULA IPPOLITO-FATA DDS
NPI 1902980691
Dentist in Flushing, NY

Active since October 25, 2006PECOS Enrolled
131-72 40TH ROAD, FLUSHING, NY 11354(718) 587-1111(718) 886-3903 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Justine Paula Ippolito-fata Dds NPPES

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

DR. JUSTINE PAULA IPPOLITO-FATA DDS (NPI 1902980691) is an individual dentist in Flushing, New York, licensed in New York (043215) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902980691
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. JUSTINE PAULA IPPOLITO-FATACredential: DDS
Location Address131-72 40TH ROADFlushing, NY 11354
Mailing Address125 Walker St Fl 2New York, NY 10013-4135 · (212) 226-8866 · Fax (212) 226-2289
Phone(718) 587-1111
Fax(718) 886-3903
Sole ProprietorYes
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 2, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1902980691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 043215
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.
131-72 40TH ROAD, Flushing, NY 11354
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Other Names 1

Former Name (1)Dr. Justine P Ippolito Dds

Other Identifiers 1

Medicaid02259254NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HRI Dental & Vision, Humana, Paramount.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justine Paula Ippolito-fata 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.

Medicare Billing Reassignment

Medicare enrollment records show Justine Ippolito-fata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Barnabas Hospital
7.3 mi
Dentist
4422 3RD AVE, DENTAL DEPARTMENT
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group
NPI 1477228971 (718) 960-6839

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11354 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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 20

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

DR. JOHNSON F. TSUI MD
Urology
131-72 40TH ROAD
FLUSHING, NY 11354
Queens County (718) 587-1111
DR. CHAINLLIE YOUNG MD, PHD
Psychiatry & Neurology (Psychiatry)
131-72 40TH ROAD
FLUSHING, NY 11354
Queens County (718) 886-7373
GRACE CHOW DDS
Dentist (General Practice)
131-72 40TH ROAD
FLUSHING, NY 11354
Queens County (718) 587-1111
YAN JUN POON RN
Registered Nurse
131-72 40TH ROAD
FLUSHING, NY 11354
Queens County (718) 587-1111
CHRISTINE EJIN KIM M.D.
Obstetrics & Gynecology
131-72 40TH ROAD
FLUSHING, NY 11354
Queens County (718) 886-1287
JIN JOO HONG NP
Nurse Practitioner (Family)
131-72 40TH ROAD
FLUSHING, NY 11354
Queens County (718) 587-1111
WEI LI LCSW
Social Worker (Clinical)
131-72 40TH ROAD
FLUSHING, NY 11354
Queens County (718) 886-7373
BEIYU LIU MD
Obstetrics & Gynecology
131-72 40TH ROAD
FLUSHING, NY 11354
Queens County (718) 886-1287

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 Justine Ippolito-fata's NPI number?

The NPI number for Justine Ippolito-fata is 1902980691. It was assigned to this individual provider in the NPPES registry on October 25, 2006. The provider is also known as Dr. Justine P Ippolito Dds.

Where is Justine Ippolito-fata located?

Justine Ippolito-fata practices at 131-72 40th Road, Flushing, NY 11354. The listed phone number is (718) 587-1111.

What is Justine Ippolito-fata's specialty?

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

Is Justine Ippolito-fata enrolled in Medicare?

Yes. Justine Ippolito-fata is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Justine Ippolito-fata's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justine Ippolito-fata reassigns Medicare benefits to St. Barnabas Hospital (Bronx, NY). The 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 Justine Ippolito-fata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justine Ippolito-fata accept?

Health plans from HRI Dental & Vision, Humana and Paramount list Justine Ippolito-fata 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 Justine Ippolito-fata was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.