DentalNPI

John Edward Fantasia, D.D.S.

Oral & Maxillofacial Pathologist · New Hyde Park, NY

Oral & Maxillofacial PathologistsMore in New YorkMedicare-enrolled

Federal data signals

Each tile cites its source. Empty signals are hidden — they are absent in the federal record, not negative ratings.

Years in practiceNPPES

51years

Self-reported NPPES — graduated 1975 from EMORY UNIVERSITY SCHOOL OF MEDICINE.

Profile completeness

High

11 of 12 NPPES fields filled.

Measures how filled-in the federal record is — not clinical quality.

Methodology →
Practice footprintCMS

2locations

Counted from CMS provider enrollment records.

Federal record checkOIG LEIE

Clean

Active NPI · No OIG exclusion · Medicare-enrolled.

MIPS final score (2023)CMS QPP

91.25/ 100

64th percentile vs 177 dentists who report MIPS (median 89).

Only ~15% of US dentists report MIPS. Absence is not a negative signal — most don't bill enough Medicare to qualify.

Methodology →
Medicare patient volumeCMS PUF

1,053beneficiaries

High volume · 1,485 services. Most dental work is private-pay or Medicaid.

Methodology →

Credentials & training

Specialty
Oral & Maxillofacial Pathologist
Primary specialty (NPPES)
ORAL SURGERY
Secondary specialties
DENTIST, MAXILLOFACIAL SURGERY
Taxonomy
Dentist - Oral and Maxillofacial Pathology
Taxonomy classification
Dentist
Taxonomy specialization
Oral and Maxillofacial Pathology
Taxonomy code
1223P0106X
Credential
D.D.S.
Credential type
dentist
Dental school
EMORY UNIVERSITY SCHOOL OF MEDICINE
Graduation year
1975

Practice ownership

Entity type
Individual
Sole proprietor
No

CMS quality & volume

CMS Quality Payment Program
MIPS final score (2023)
91.25 / 100
MIPS quality component
74.92 / 100
Medicare beneficiaries
1,053
Medicare services
1,485
Total Medicare payment
$372,510
Before you book

Five-minute checklist before you call

Federal data tells you a dentist exists and is enumerated. It does not confirm insurance acceptance, current availability, or office fit. Use this list when you call so the visit isn’t a surprise.

  1. Confirm insurance & out-of-pocket cost

    • “Do you accept my exact insurance plan? (give the carrier, plan name, and member ID)”
    • “Are you accepting new New York Medicaid patients right now?”
    • “What is the out-of-pocket cost I should expect for the type of visit I need?”
    • “If you are out of network for me, can you bill my insurer or only me?”

  2. Verify the dentist & availability

    • “Is John Edward Fantasia the dentist who will see me, or another provider in the practice?”
    • “Are you accepting new patients? When is the next available appointment?”
    • “Will the same dentist handle follow-up visits, or rotate?”

  3. Verify the license yourself

    Search the New York State Board for Dentistry license-lookup to confirm the license is active and in good standing — federal records do not show state-level discipline. Open the New York State Board for Dentistry site →

  4. Match office services to your needs

    • “Do you offer emergency or same-day appointments? After-hours number?”
    • “What languages do your front desk and clinical staff speak?”
    • “Is the office wheelchair-accessible? Any accommodations available on request?”
    • “Do you offer sedation options for anxious patients (nitrous, oral, IV)?”
    • “Do you treat pediatric patients in this practice, or refer them to a pediatric dentist?”

Ready to call? Have your insurance card and a list of symptoms or visit reasons in front of you.

Call (718) 470-7116

More oral & maxillofacial pathologists in New York

See full list →
About oral & maxillofacial pathologists

What is a oral & maxillofacial pathologist?

An oral and maxillofacial pathologist diagnoses diseases of the mouth and jaw from biopsy specimens, imaging, and clinical exam. They're the specialty general dentists, oral surgeons, and ENTs send tissue samples to when something looks suspicious.

Training. After dental school, a pathologist completes a 3-year accredited residency. Board certification is through the American Board of Oral and Maxillofacial Pathology.

More about oral & maxillofacial pathologists
Frequently asked

About this provider

  • What is John Edward Fantasia's NPI?
    John Edward Fantasia has the National Provider Identifier 1730258286. You can verify it directly on the NPPES NPI Registry at npiregistry.cms.hhs.gov.
  • Does John Edward Fantasia accept Medicare?
    Yes. John Edward Fantasia is enrolled with CMS Medicare. Note that few dental services are covered by traditional Medicare; coverage typically applies under Medicare Advantage dental riders.
  • Does John Edward Fantasia accept New York Medicaid?
    We do not have a verified New York Medicaid acceptance signal for John Edward Fantasia. Medicare enrollment is a public-program proxy but not a guarantee. Call the office or check the New York Medicaid provider directory at https://www.health.ny.gov/health_care/medicaid/.
  • How do I verify John Edward Fantasia's dental license?
    Use the New York State Board for Dentistry license-lookup at https://www.op.nysed.gov/professions/dentists. Search by name to confirm the license is active and in good standing.
Trust & transparency

Public data sources

Every provider profile cites the federal record it was built from. No editorial guesswork, no paid placement.