For dental offices
Metropolitan Dental Anesthesia brings board-certified anesthesia care into your office — so your patients receive the treatment they need while your team does the dentistry. Dr. José Rivero partners with general dentists, oral surgeons, pediatric dentists and specialists across New York City, Westchester County, Nassau and Suffolk counties.
How in-office anesthesia works
Partnering with Dr. Rivero means adding a full anesthesia capability to your practice without adding staff, equipment or space. The sequence is straightforward:
Cases are reviewed with your office before anything is scheduled. Dr. Rivero evaluates the patient's health history, medications and your planned treatment, so the right patients are selected and the anesthesia plan fits the treatment plan.
Dr. Rivero reviews the patient's health history, medications and any relevant records directly with the patient or family. When a case needs physician coordination, it is arranged before anesthesia day — never on it.
Dr. Rivero arrives with dedicated anesthesia and monitoring equipment. He manages anesthesia delivery and continuous monitoring while your team performs the dental work — no OR booking, no hospital scheduling, no patient transport.
Patients are observed during early recovery and leave with written post-anesthesia instructions. Your office receives a recovery report, and anesthesia follow-up questions go through Dr. Rivero's team.
Cases that stay in your office
The cases most dentists refer away for anesthesia are often treatable in your own operatory once an anesthesiologist is on the team:
Treatment becomes possible for patients who otherwise avoid the chair.
Young patients treated calmly in your office instead of referred to a hospital.
Backed by Dr. Rivero's special-needs anesthesia experience at the Rose F. Kennedy Center.
Health histories reviewed preoperatively, with physician coordination when indicated.
Full-mouth rehabilitation, implants, wisdom teeth and sedation-dentistry workflows.
Practice economics
When anesthesia leaves with the patient, so does the case — and the case mix that builds a practice. Bringing anesthesia into your office instead of referring to a hospital or an outside sedation facility changes the math: fewer cases referred out, broader treatment plans, and continuity of care that keeps patients in your practice.
Patients stay with the dentist they trust. Your schedule opens to anesthesia days planned around your production calendar, rather than losing appointments to external OR availability. And because the practice is mobile, you gain the capability without the capital expense, space and staffing commitment of in-house anesthesia — you expand what your office can safely accomplish exactly when you choose.
Credentials
Before board certification, Dr. Rivero completed six years of formal postgraduate training — three beyond his specialty residency.
That training began with a two-year Advanced Education in General Dentistry program at the University of Connecticut, followed by a year with the Oral and Maxillofacial Surgery department at Jacobi Medical Center. He then completed a three-year Dental Anesthesiology residency at Jacobi Medical Center in collaboration with Albert Einstein College of Medicine, serving as Chief Resident during his second and part of his third year.
He is a Diplomate of the American Dental Board of Anesthesiology (2019), holds ACLS, PALS and BLS certifications, and has served as an attending at Saint Barnabas Hospital since 2020 — teaching residents across dental anesthesiology, general dentistry, pediatric dentistry and oral surgery programs. He previously taught Periodontology residents at Columbia University.
His residency included rotations in cardiology, emergency medicine, internal medicine, pulmonology, adult and pediatric intensive care, and orofacial pain. He also provided anesthesia for patients with special needs at the Rose F. Kennedy Center.
Trusted by dental teams
Extracts from five-star Google reviews by dentists and dental office professionals.
“Dr. Rivero fosters a collaborative environment, communicating effectively with our dental team and ensuring everyone is well-informed.”— Sandra Seda · Google review
“Outstanding experience with Dr. Rivero. Thank you again for making what could have been a stressful day so much easier!”— Katarzyna Gilewicz, DDS · Google review
“We’ve tackled many hard cases together, from medically compromised patients to patients that need a lot of attention to have a smooth sedation… I wouldn’t trust my patients to anyone else.”— Dr. Diego Herrera, Bedford Dental Care · Google review
Common questions
Start the conversation with a call or email: (917) 569-0131 or admin@newyorksedation.com. Dr. Rivero will discuss your case mix, how anesthesia days fit your production calendar, and what your office needs to provide. Many partnerships begin with a single scheduled day and grow from there.
Dr. Rivero brings dedicated anesthesia delivery and monitoring equipment to your office on anesthesia days. Your practice provides the treatment space; he will coordinate in advance on power, supplies and the setup your team can plan around.
Strong candidates include patients with dental anxiety or phobia, children who cannot cooperate with routine treatment, patients with special needs, medically complex patients after individualized review, and patients scheduled for extensive procedures. Final candidacy comes from Dr. Rivero’s preoperative review.
Anesthesia days are dedicated blocks on your calendar. Your office books the qualifying cases; Dr. Rivero handles preoperative review, patient instructions, anesthesia delivery, monitoring and recovery on those days.
Hospital anesthesia means your patient waits for OR availability in an unfamiliar facility and often moves to an unfamiliar dental team. In-office anesthesia keeps the patient, the treatment plan and the follow-up in your practice — on your timeline, in your chair.
When a patient's medical history calls for it, Dr. Rivero coordinates with the patient's physician before treatment. His hospital background — residency rotations across cardiology, internal and emergency medicine, pulmonology and intensive care — is built for those conversations.
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Begin the conversation
Patients, families and dental providers are welcome to reach out directly. For private medical details, please call rather than include them in an email.