John Edward Fantasia, D.D.S.
NPI 1730258286ActiveIndividual· Dentist, Oral and Maxillofacial Pathology· New Hyde Park, NY
Dentist, Oral and Maxillofacial Pathology (D.D.S.) in New Hyde Park, New York, trained at Emory University School of Medicine (class of 1975). 995 Medicare patients in 2024, $92,034 paid; nearly all of their 471 Part D prescriptions were generic (99%).
Overview
| NPI | 1730258286 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.D.S. |
| Sole proprietor | No |
| NPI issued | Nov 7, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Pathology Primary | 1223P0106X | 041799-1 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Oral Surgery (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 995 |
|---|---|
| Services billed | 1,434 across 27 procedure codes |
| Paid by Medicare | $92,034 |
Part D prescriptions in 2024
| Prescriptions (claims) | 471 · 1,056 30-day fills |
|---|---|
| Patients | 151 |
| Total drug cost | $17,097 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | Emory University School of Medicine |
|---|---|
| Graduation year | 1975 |
| Medicare specialty | Oral Surgery |
| Secondary specialties | Dentist, Maxillofacial Surgery |
Medical groups
- White Hall Dental, PCForest Hills, NY · 11 clinicians
- Black Hall Dental PCGlen Cove, NY · 8 clinicians
Hospital affiliation
- Long Island Jewish Medical CenterNew Hyde Park, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Dentist, Oral and Maxillofacial Pathology providers in New Hyde Park
- 1972505493
- 1043633365
- 1205905593
- 1821552571
- 1710200605
All Dentist, Oral and Maxillofacial Pathology providers in New York