Individual provider Active NPI

James Michael Muzzi, DMD

  • Dentist
  • New York, NY
National Provider Identifier
1588835854
Registry record updated Mar 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
046892 Issued in NY
Practice address
614 2ND Ave
Suite D
New York, NY 10016-4889
Phone
(212) 725-2020
NPI assigned
Mar 14, 2008
Last updated
Mar 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 046892 NY Primary

Addresses

Primary practice location

614 2ND Ave
Suite D
New York, NY 10016-4889

Mailing address

614 2ND Ave
Suite D
New York, NY 10016-4889
Phone (212) 725-2020

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
I20150529002487 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7416278627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kips Bay Dental Practice, P.C. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205452800000",
    "number": "1588835854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 2ND AVE",
            "address_2": "SUITE D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164889",
            "telephone_number": "212-725-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 2ND AVE",
            "address_2": "SUITE D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164889",
            "telephone_number": "212-725-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUZZI",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "046892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.