Individual provider Active NPI

James Peter Denunzio, D.D.S.

  • General Practice Dentistry
  • Seaford, NY
National Provider Identifier
1073775276
Registry record updated Dec 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054529 Issued in NY
Practice address
2125 Jackson Ave
Seaford, NY 11783-2605
Phone
(516) 233-4036
NPI assigned
Jun 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 054529 NY Primary

Addresses

Primary practice location

2125 Jackson Ave
Seaford, NY 11783-2605

Mailing address

311N Broome Ave
Lindenhurst, NY 11757-3834
Phone (516) 233-4036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107000205 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072815109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054529NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
James P. Denunzio, D.D.S., P.L.L.C. CurrentSince Jan 31, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451174400000",
    "number": "1073775276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311N BROOME AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117573834",
            "telephone_number": "516-233-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 JACKSON AVE",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832605",
            "telephone_number": "516-233-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENUNZIO",
        "first_name": "JAMES",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-28",
        "last_updated": "2015-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, NY

Sources for this page

Verify at the official NPI Registry.