Active NPI
Mariam Wozniak, D.M.D
- Periodontics
- New York, NY
National Provider Identifier
1336375377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 044434
- Practice address
- 120 Central Park S Ste 1a
New York, NY 10019-1508 - Phone
- (212) 243-1023
- NPI assigned
- Jun 4, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 044434 | NY | Primary |
Addresses
Primary practice location
120 Central Park S Ste 1a
New York, NY 10019-1508
Mailing address
120 Central Park S Ste 1a
New York, NY 10019-1508
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 |
|---|---|---|---|
| 044434 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1336375377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 CENTRAL PARK S STE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 CENTRAL PARK S STE 1A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100191508",
"telephone_number": "212-243-1023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOZNIAK",
"first_name": "MARIAM",
"credential": "D.M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-04",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "044434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.