Active NPI
Peter Muntean, DDS
- Dentist
- West Babylon, NY
National Provider Identifier
1104060920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 053065
- Practice address
- 505 Sunrise Hwy
West Babylon, NY 11704-6009 - Phone
- (631) 661-0505
- Fax
- (631) 661-1707
- NPI assigned
- Apr 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 053065 | NY | Primary |
Addresses
Primary practice location
505 Sunrise Hwy
West Babylon, NY 11704-6009
Mailing address
8346 Penelope Ave
Middle Village, NY 11379-2442
Phone (718) 326-2980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053065 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549152000000",
"number": "1104060920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8346 PENELOPE AVE",
"city": "MIDDLE VILLAGE",
"state": "NY",
"postal_code": "113792442",
"telephone_number": "718-326-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SUNRISE HWY",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117046009",
"telephone_number": "631-661-0505",
"fax_number": "631-661-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNTEAN",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-23",
"last_updated": "2019-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "053065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.