Individual provider Active NPI

Alicia Deguzman, D.M.D.

  • Dentist
  • New York, NY
National Provider Identifier
1346346558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043266 Issued in NY
Practice address
30 E 40TH St
Suite 501
New York, NY 10016-1201
Phone
(212) 686-0888
NPI assigned
Sep 15, 2006
Sex
Female
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 043266 NY Primary

Addresses

Primary practice location

30 E 40TH St
Suite 501
New York, NY 10016-1201

Mailing address

30 E 40TH St
Suite 501
New York, NY 10016-1201
Phone (212) 686-0888

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
I20240429001953 NY Practitioner - Dentist 5294175907 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Mar 20, 2024 Accepting new patients
White Plains Physician Services Dentist CurrentSince Mar 20, 2024 Accepting new patients

Locations

79 E Post Rd
White Plains, NY 10601
Phone (914) 849-3488

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346346558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST",
            "address_2": "SUITE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161201",
            "telephone_number": "212-686-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 40TH ST",
            "address_2": "SUITE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161201",
            "telephone_number": "212-686-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUZMAN",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "043266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.