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DR. NICOLE PROVENZANO DDS
NPI 1952591661
Dentist in Astoria, NY

Active since July 29, 2007PECOS Enrolled
3156 STEINWAY ST, ASTORIA, NY 11103(718) 721-4700(718) 204-5641 Get Directions Write a Review

NPPES record last updated: November 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Provenzano Dds NPPES

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

DR. NICOLE PROVENZANO DDS (NPI 1952591661) is an individual dentist in Astoria, New York, licensed in New York (050787) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952591661
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. NICOLE PROVENZANOCredential: DDS
Location Address3156 STEINWAY STAstoria, NY 11103-3909
Mailing Address8046 Jamaica AveWoodhaven, NY 11421-1901 · (718) 296-8100
Phone(718) 721-4700
Fax(718) 204-5641
Sole ProprietorYes
Enumeration DateJuly 29, 2007
Last NPPES UpdateNovember 16, 2016
✔ NPI 1952591661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NY · 050787
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.
3156 STEINWAY ST, Astoria, NY 11103
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicole Provenzano 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 11103 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 8

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

DR. MORTON HERTZ DDS
Dentist (General Practice)
3156 STEINWAY ST
ASTORIA, NY 11103
Queens County (718) 721-4700
MARYAM KASHANI-NAGHI DDS
Dentist
3156 STEINWAY ST
ASTORIA, NY 11103
Queens County (718) 721-4700
DR. TONY CHEN DDS
Dentist (General Practice)
3156 STEINWAY ST
LONG ISLAND CITY, NY 11103
Queens County (718) 721-4700
DR. JAMES R GELFAND DDS
Dentist
3156 STEINWAY ST
ASTORIA, NY 11103
Queens County (718) 721-4700
RACHEL KAREN GANDLER DMD
Dentist
3156 STEINWAY ST
ASTORIA, NY 11103
Queens County (914) 393-8830
DR. AIMEE F KRAFT D.D.S.
Dentist
3156 STEINWAY ST
ASTORIA, NY 11103
Queens County (718) 721-4700
HARKANWAL SINGH KANWAL DMD
Dentist
3156 STEINWAY ST
ASTORIA, NY 11103
Queens County (718) 721-4700
ASTORIA MODERN FAMILY DENTAL PLLC
Dentist
3156 STEINWAY ST
ASTORIA, NY 11103
Queens County (718) 721-4700

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 Nicole Provenzano's NPI number?

The NPI number for Nicole Provenzano is 1952591661. It was assigned to this individual provider in the NPPES registry on July 29, 2007.

Where is Nicole Provenzano located?

Nicole Provenzano practices at 3156 Steinway St, Astoria, NY 11103. The listed phone number is (718) 721-4700.

What is Nicole Provenzano's specialty?

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

Is Nicole Provenzano enrolled in Medicare?

Yes. Nicole Provenzano is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Provenzano was last updated on November 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.