What is Jack Miceli's NPI number?

Jack Miceli's National Provider Identifier (NPI) is 1851458483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jack Miceli's specialty?

Jack Miceli is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Jack Miceli located?

Jack Miceli's practice location on file with NPPES is 255 Mason Ave., Staten Island, NY 10305-3416.

What is Jack Miceli's phone number?

The practice phone number listed in the NPPES registry for Jack Miceli is (718) 987-6543.

Is Jack Miceli's NPI active?

Yes — Jack Miceli's NPI (1851458483) is active in the NPPES registry as of the last update on 2010-02-23.

IndividualActive

Jack Miceli, DDS

NPI 1851458483 · General Practice Dentistry · Staten Island, NY

Jack Miceli, DDS is a General Practice Dentistry provider in Staten Island, NY (NPI 1851458483).

Provider details

NPI number: 1851458483
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: No
License: 39067 (NY)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 39067 (NY)
Dental Providers

Profile Score

Detailed profile(90/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

255 Mason Ave.

Staten Island, NY 10305-3416

Phone: (718) 987-6543

Fax: (718) 987-6542

Street-level locationGet directions

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Mailing address