Dr. John Edward Fantasia
D.D.S. | Oral and Maxillofacial Pathologist | 50+ years Exp
27005 76th Ave, Lijmc, New Hyde Park
New York, 11040-1433
718-470-7116 718-347-3483
Maps & DirectionsDr. John Edward Fantasia is a New Hyde Park, New York based Oral and Maxillofacial Pathologist with
50 years of experience in
Oral and Maxillofacial Pathology. He completed his graduation from
Emory University School Of Medicine in 1975 He is also affiliated with hospitals like
. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. John Edward Fantasia is
041799-1 for Oral and Maxillofacial Pathology in New York. His current practice location is
27005 76th Ave, Lijmc, New Hyde Park. Patients can reach him at
718-470-7116.
Dr. John Edward Fantasia is specialized in that branch of dentistry and pathology which deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
Complete Profile:
Dr. John Edward Fantasia speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. John Edward Fantasia |
| Specialization: | Oral and Maxillofacial Pathologist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Experience: | 50+ years |
| Medical School Attended: | Emory University School Of Medicine |
| Graduation Year: | 1975 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 27005 76th Ave, Lijmc, New Hyde Park,
New York, 11040-1433 |
| Phone: | 718-470-7116 |
| Fax: | 718-347-3483 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9638368145 |
| Enrollment ID: | I20110114000560 |
| NPI Number: | 1730258286 |
| NPI Enumeration Date: | 07 Nov, 2006 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. John Edward Fantasia are as mentioned below.
| License Number | Specialization | State | Status | |
| 041799-1 | Oral and Maxillofacial Pathology | New York | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (330195) | New hyde park, NY | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. John Edward Fantasia is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| North Shore - Lij Medical Pc (3375701568) | 4569 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. John Edward Fantasia such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01098053 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 27005 76th Ave, Lijmc
New Hyde Park, New York |
| Zip: | 11040-1433 |
| Phone Number: | 718-470-7116 |
| Fax Number: | 718-347-3483 |
Patients can reach Dr. John Edward Fantasia at
27005 76th Ave, Lijmc, New Hyde Park, New York or can
call to book an appointment on 718-470-7116.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.