Jack Miceli, DDS
General Practice Dentistry · Staten Island, NY
Jack Miceli, DDS is a general practice dentistry with a practice address in Staten Island, New York, and NPI 1851458483, issued on Jan 2, 2007. Check the license (New York 39067, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jack Miceli
- Credential
- DDS
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 39067 NY
Self-reported in NPPES; status is on the state search - Practice location
- 255 Mason Ave., Staten Island, NY 10305
- Phone
- (718) 987-6543
- Enumerated
- Jan 2, 2007
- Record last updated
- Feb 23, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (718) 987-6542
- Medicaid ID
- 02241885 NY
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 7,828 in New York → Look up another NPI →
Also registered at 255 Mason Ave.
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Vincent Augello, DDSGeneral Practice Dentistry1396802922
- John Foppiani, DDSPeriodontics1871650408
- Michael Reilly, DDSOrthodontics and Dentofacial Orthopedics Dentistry1942367578
Verify Jack Miceli in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 39067Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jack Miceli among 7,828 general practice dentistry records in New York
Jack Miceli, DDS is one of 7,828 general practice dentistry records with a practice address in New York. 60% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 35% of them.
- NPI issued2007 · 35% of these records are older, 35% newer
- In a Medicare fileNo · 60% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2010 · 79% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
167 general practice dentistry records list a practice address in Staten Island
They are 167 of the 12,351 NPPES records with a practice address in Staten Island, and 7,828 general practice dentistry records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 7,828 in New York → Every provider in Staten Island → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- Sally Alkamary, SALLY ALKAMARY DDSStaten Island, NY 103051154618387
- Vincent Augello, DDSStaten Island, NY 103051396802922
- Michael Dicarlo, D.D.SStaten Island, NY 103051467710426
- Andrew Hechtman, DMDStaten Island, NY 103051437349396
- Scott Kaminker, D.D.S.Staten Island, NY 103051013087246
- Lyubov Krut, DDSStaten Island, NY 103051356331029
- Alexander Levin, DDSStaten Island, NY 103051528373784
- Robert Lobaito, DDSStaten Island, NY 103051679743017
Common questions
What is Jack Miceli, DDS's NPI number?
Jack Miceli, DDS's National Provider Identifier (NPI) is 1851458483, issued on Jan 2, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Jack Miceli, DDS located?
The NPPES record lists a practice address at 255 Mason Ave., Staten Island, NY, 10305. Phone: (718) 987-6543. Providers update this record themselves, so call before visiting.
How can I verify Jack Miceli, DDS's license?
NPPES lists New York license number 39067, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.