Active NPI
Drew A Nunziata, DMD, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Suffern, NY
National Provider Identifier
1053638387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 280315
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 058602 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
| 280315 | NY | MD | Oral & 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.