Connie Wang Marcusa, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

DN1858617 Issued in MA

Practice address

400 Crown Colony Dr
Quincy, MA 02169-0930

Phone

(617) 706-9003

NPI assigned

Aug 2, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• T.P.Deahl D.D.S., P.C.

  • General Practice Dentistry
  • Cambridge, MA
  • NPI 1952595696
  NPD (past)
• Ultimate Dental of Cambridge, PC

  • General Practice Dentistry
  • Cambridge, MA
  • NPI 1336787845
  NPD (past)
• Zwell, P.C.

  • General Practice Dentistry
  • Littleton, MA
  • NPI 1790209344
  NPD (past)

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1477077139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CROWN COLONY DR STE 401",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690991",
            "telephone_number": "617-706-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CROWN COLONY DR",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690930",
            "telephone_number": "617-706-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUSA",
        "first_name": "CONNIE",
        "middle_name": "WANG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901022417",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "MA",
            "license": "DN1858617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Map Day TX, Inc
• Paul Marando
• Yara Marcelino
• Maxime Lee Marcellus, MS
• Lady Katiuska Marcelluy, MS
• Alana Marczak, DMD
• Marelin Dost Licsw LLC
• Sarah Margolis, PT, DPT
• Maria Droste Counseling Services, Inc.
• Marianella Romero DMD PLLC

• Prosthodontics in Quincy, MA
• Providers in Quincy, MA by specialty
• Prosthodontics in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.