Individual provider Active NPI

Wayne P Muscarella, DDS

  • Dentist
  • Garden City, NY
National Provider Identifier
1154439255
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
038708 Issued in NY
Practice address
4 Sandy CT
Garden City, NY 11530-1534
Phone
(516) 741-0970
Fax
(516) 741-0970
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 038708 NY Primary

Addresses

Primary practice location

4 Sandy CT
Garden City, NY 11530-1534

Mailing address

4 Sandy CT
Garden City, NY 11530-1534
Phone (516) 741-0970

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
I20160323001735 NY Order and Referring Only - DentistPractitioner - Dentist 7012214703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038708NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154439255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SANDY CT",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301534",
            "telephone_number": "516-741-0970",
            "fax_number": "516-741-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SANDY CT",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301534",
            "telephone_number": "516-741-0970",
            "fax_number": "516-741-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCARELLA",
        "first_name": "WAYNE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "038708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.