Dennis Michael Illuzzi, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N004192 Issued in NY

Practice address

61 Route 111
Smithtown, NY 11787-3712

Phone

(631) 360-7733

Fax

(631) 360-7786

NPI assigned

Feb 26, 2006

Last updated

Apr 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert D. Berney

  • Chiropractor
  • Smithtown, NY
  • NPI 1639367576
  NPD (past)

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

{
    "created_epoch": "1140912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1154397594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 OLD MILL RD",
            "city": "NISSEQUOGUE",
            "state": "NY",
            "postal_code": "117804206",
            "telephone_number": "631-724-4959",
            "fax_number": "631-724-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 ROUTE 111",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873712",
            "telephone_number": "631-360-7733",
            "fax_number": "631-360-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILLUZZI",
        "first_name": "DENNIS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-26",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00994972",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Iadevaia, LCSW
• Ian Andrew Glaser DDS PC
• Sandra Joan Iannotti, M.D.
• Nicole Ierna
• Joseph Illari, P.T.
• Michael M Ilyasov
• Karla Imonti, RN
• Infectious Disease Medical Practice of Ny LLC
• Briana Marie Ingram
• Sharon L Inkeles, MD

• Podiatrist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.