Raymond L Wozny, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050269 Issued in NY

Practice address

6278 Route 25a
Suite 6
Wading River, NY 11792-2017

Phone

(631) 697-2753

NPI assigned

Oct 3, 2012

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1356693238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6278 ROUTE 25A",
            "address_2": "SUITE 6",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922017",
            "telephone_number": "631-697-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6278 ROUTE 25A",
            "address_2": "SUITE 6",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922017",
            "telephone_number": "631-697-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNY",
        "first_name": "RAYMOND",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co
• Denise Joanne Weber, R.PH
• Natalie Marie Wend, DC
• Whole Child Mind-Body Wellness LLC
• Jon Steven Woods, M.D.
• Alyssa Marie Wruck, DMD
• Yuanyuan Yan
• Mariellen Young, CCC-SLP
• Sylvia Zaki
• Bonnie Zulli

• General Practice Dentistry in Wading River, NY
• Providers in Wading River, 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 Oct 3, 2012; 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.