Maureen Ann Tredwell, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042072-1 Issued in NY

Practice address

1599 Wantagh Ave
Wantagh, NY 11793-3936

Phone

(516) 785-7529

Fax

(516) 785-3229

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275624777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1599 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933936",
            "telephone_number": "516-785-7529",
            "fax_number": "516-785-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1599 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933936",
            "telephone_number": "516-785-7529",
            "fax_number": "516-785-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREDWELL",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042072-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Tommasulo, MSED
• Viviana Marcela Torres Rizo, DDS
• Kathy L Tota, LMHC
• Stephanie Towne
• Josephine Tramontana, LMFT
• Scott Joseph Tredwell, DDS
• Elisa Trentadue, LCSW
• Donna Marie Tropeano-Tirino, RN
• Harry J. Tsotsos, DMD
• Denise Berotti Tuckruskye, PH.D.

• General Practice Dentistry in Wantagh, NY
• Providers in Wantagh, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.