OrganizationActive
Jack Miceli DDS PC
NPI 1932266566 · General Practice Dentistry · Staten Island, NY
Jack Miceli DDS PC is a General Practice Dentistry organization in Staten Island, NY (NPI 1932266566).
Provider details
- NPI number
- 1932266566
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Marine Dental Services
- Organization subpart
- Yes
- Authorized official
- Jack Miceli, President(718) 987-6543
- License
- 39067 (NY)
Specialties & taxonomies
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
Mailing address
255 Mason Ave.
Staten Island, NY 10305-3416
Other names (DBA / former)
- Doing business as
- Marine Dental Services
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2010-02-23
Frequently asked questions
- What is Jack Miceli DDS PC's NPI number?
- Jack Miceli DDS PC's National Provider Identifier (NPI) is 1932266566, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jack Miceli DDS PC?
- Jack Miceli DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jack Miceli DDS PC located?
- Jack Miceli DDS PC's practice location on file with NPPES is 255 Mason Ave., Staten Island, NY 10305-3416.
- What is Jack Miceli DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Jack Miceli DDS PC is (718) 987-6543.
- Who is the authorized official for Jack Miceli DDS PC?
- The authorized official listed on Jack Miceli DDS PC's NPPES record is Jack Miceli, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jack Miceli DDS PC's NPI active?
- Yes — Jack Miceli DDS PC's NPI (1932266566) is active in the NPPES registry as of the last update on 2010-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.