Individual provider Active NPI

Bruno Balassiano, DMD

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1477466134
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI03056200 Issued in NJ
Practice address
333 E 102ND St Apt 304
New York, NY 10029-5647
Phone
(321) 330-8576
NPI assigned
Sep 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI03056200 NJ Primary

Addresses

Primary practice location

333 E 102ND St Apt 304
New York, NY 10029-5647

Mailing address

333 E 102ND St Apt 304
New York, NY 10029-5647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1477466134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E 102ND ST APT 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E 102ND ST APT 304",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295647",
            "telephone_number": "321-330-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASSIANO",
        "first_name": "BRUNO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03056200",
            "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 Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.