Heather Zanon Fugazy, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

058961 Issued in NY

Practice address

100 Woods Rd
Westchester Medical Center
Valhalla, NY 10595-1530

Phone

(914) 469-4804

NPI assigned

May 1, 2015

Last updated

Jun 25, 2020By the provider in NPPES

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

Other names 1

• Heather Zanon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: hfugazy51459@northwell.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Professional Oral Surgery Alliance of Downstate New York PLLC

  dba New City Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Scarsdale, NY
  • NPI 1144043092
  NPD (past)
• Yonkers Oral Surgery, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Yonkers, NY
  • NPI 1255796553
  NPD (past)

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1366829053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE STE 207",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833250",
            "telephone_number": "914-472-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "address_2": "WESTCHESTER MEDICAL CENTER",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-469-4804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUGAZY",
        "first_name": "HEATHER",
        "middle_name": "ZANON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "058961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "ZANON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shirly Friedman, MD
• Rachel Hillary Friedmann
• William Frishman, MD
• Gabriel Froula, D.O.
• Christopher Fu
• Neal Kazuo Fujishige, DDS
• Miruzato Fukuda, M.D.
• Muhammad Saad Furqan, MD
• Mario V Fusaro, M.D.
• Nadine Pia Gabriel-Moran, MHC - LP

• Oral and Maxillofacial Surgery (Dentist) in Valhalla, NY
• Providers in Valhalla, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.