Nicole Provenzano, DDS
NPI 1952591661ActiveIndividual· Dentist· Astoria, NY
Dentist (DDS) in Astoria, New York, licensed in NY, with an NPI issued in July 2007. Part D covered 31 prescriptions written in 2024, 87% of them generic.
Overview
| NPI | 1952591661 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | Yes |
| NPI issued | Jul 29, 2007 |
| Last updated in NPPES | Nov 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 050787 | 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 Order and Referring Only - Dentist (NY) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 31 · 37 30-day fills |
|---|---|
| Patients | 18 |
| Total drug cost | $187.20 |
| Generic share | 87% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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