Individual provider Active NPI

Drew A Nunziata, DMD, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Suffern, NY
National Provider Identifier
1053638387
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
280315 Issued in NY
Practice address
84 Route 59
Ramapo Oral and Maxillofacial Surgery
Suffern, NY 10901
Phone
(845) 357-2070
Fax
(845) 357-2144
NPI assigned
Apr 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 280315 NY Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 058602 NY

Addresses

Primary practice location

84 Route 59
Ramapo Oral and Maxillofacial Surgery
Suffern, NY 10901

Mailing address

84 Route 59
Ramapo Oral and Maxillofacial Surgery
Suffern, NY 10901
Phone (845) 357-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 25, 2025 through Jul 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
058602NYMDOral and Maxillofacial Surgery (Dentist)
280315NYMDOral & Maxillofacial Surgery (D.M.D.)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1053638387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 ROUTE 59",
            "address_2": "RAMAPO ORAL AND MAXILLOFACIAL SURGERY",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-357-2070",
            "fax_number": "845-357-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 ROUTE 59",
            "address_2": "RAMAPO ORAL AND MAXILLOFACIAL SURGERY",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "10901",
            "telephone_number": "845-357-2070",
            "fax_number": "845-357-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNZIATA",
        "first_name": "DREW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NY",
            "license": "280315",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "058602",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.