Kimberly Rae Masuga, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056209 Issued in NY

Practice address

501 Main St # a
New York, NY 10044-0190

Phone

(212) 752-8722

Fax

(212) 421-0790

NPI assigned

Aug 8, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Lawrence M Itskowitch DDS,PC

  • Dental Clinic/Center
  • Roosevelt Island, NY
  • NPI 1437379799
  NPD (past)

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1104173111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MAIN ST # A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440190",
            "telephone_number": "212-752-8722",
            "fax_number": "212-421-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 MAIN ST # A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100440190",
            "telephone_number": "212-752-8722",
            "fax_number": "212-421-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUGA",
        "first_name": "KIMBERLY",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Biagio Michele Mastropieri, PH.D.
• Jocelyn Marie Mastropolo, DPT
• Alicia Ann Mastrosimone, MS., PT
• Jessica Katherine Masty, PH.D.
• Yuko Masuda, LCSW
• Kiriko Masuno
• Arjun Vijay Masurkar, M.D., PH.D.
• Rebecca Kwon Masutani, MD
• Ashley Masy
• Mariya Masyukova, M.D., M.S.

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.