Dr Justine Paula Ippolito-fata, DDS in Flushing, NY

Dr Justine Paula Ippolito-fata, DDS is a medicare enrolled "Dentist" provider in Flushing, New York. Her current practice location is 131-72 40th Road, Flushing, New York. You can reach out to her office (for appointments etc.) via phone at (718) 587-1111.

Dr Justine Paula Ippolito-fata is licensed to practice in New York (license number 043215) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1902980691.

Contact Information

	Dr Justine Paula Ippolito-fata, DDS
	131-72 40th Road, Flushing, NY 11354
	(718) 587-1111
	(718) 886-3903

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Justine Paula Ippolito-fata
Gender	Female
Speciality	Dentist
Location	131-72 40th Road, Flushing, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902980691
Provider Enumeration Date: 10/25/2006
Last Update Date: 07/02/2025

Medicare PECOS Information:

PECOS PAC ID: 8123453883
Enrollment ID: I20200127002189

Medical Identifiers

Medical identifiers for Dr Justine Paula Ippolito-fata such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902980691	NPI	-	NPPES
02259254	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	043215 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Justine Paula Ippolito-fata allows following entities to bill medicare on her behalf.

Entity Name	St Barnabas Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1477228971 PECOS PAC ID: 5395740922 Enrollment ID: O20220325002116

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 Justine Paula Ippolito-fata 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 Address	Practice Location Address
Dr Justine Paula Ippolito-fata, DDS 125 Walker St Fl 2, New York, NY 10013-4135 Ph: (212) 226-8866	Dr Justine Paula Ippolito-fata, DDS 131-72 40th Road, Flushing, NY 11354 Ph: (718) 587-1111

Reviews and Comments

Dentist in Flushing, NY

Dr. Min-deh Wei, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13347 Sanford Ave, Suite 2d, Sanford Tower, Flushing, NY 11355 Phone: 718-888-9529
Thomas Zoltan Kent, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 169-11 Union Tpke, Flushing, NY 11366 Phone: 718-969-8514
Dr. Insup Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2915 Union St, Flushing, NY 11354 Phone: 718-762-8320 Fax: 718-762-8454
Dr. Sung H Kim, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14936 Northern Blvd, #201, Flushing, NY 11354 Phone: 718-888-9446
Dr. Katherine L Wu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4160 Main St, Suite 205, Flushing, NY 11355 Phone: 718-939-0866
Dr. Steven Lee, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 3626 Main St, Suite 2c, Flushing, NY 11354 Phone: 718-888-9366 Fax: 718-888-7730
Dr. Menachem Mark Darwish, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14102 Jewel Ave, Flushing, NY 11367 Phone: 917-674-8272

Dr Justine Paula Ippolito-fata, DDS - Medicare Dentist in Flushing, NY