Dr Nicholas A Tedesco, DDS - Medicare Dentist in New York, NY

Dr Nicholas A Tedesco, DDS is a medicare enrolled "Dentist - General Practice" provider in New York, New York. His current practice location is 230 West 41st St., 2nd Floor, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 398-9690.

Dr Nicholas A Tedesco is licensed to practice in New York (license number 031095) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1003195496.

Contact Information

Dr Nicholas A Tedesco, DDS
230 West 41st St., 2nd Floor,
New York, NY 10036
(212) 398-9690
(212) 221-0291



Healthcare Provider's Profile

Full NameDr Nicholas A Tedesco
GenderMale
SpecialityDentist - General Practice
Location230 West 41st St., New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003195496
  • Provider Enumeration Date: 08/16/2011
  • Last Update Date: 08/16/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4486961778
  • Enrollment ID: I20150918001578

Medical Identifiers

Medical identifiers for Dr Nicholas A Tedesco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003195496NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 031095 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas A Tedesco is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nicholas A Tedesco, DDS
230 West 41st St., 2nd Floor,
New York, NY 10036

Ph: (212) 398-9690
Dr Nicholas A Tedesco, DDS
230 West 41st St., 2nd Floor,
New York, NY 10036

Ph: (212) 398-9690

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› Verified 5 days ago


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