Stacey Zirilli

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13340 Issued in CT

Practice address

497 Main St
Ansonia, CT 06401-2333

Phone

(203) 735-4701

NPI assigned

Jul 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Stacey Berkowitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1598327173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 1ST AVE APT 7H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104941",
            "telephone_number": "561-445-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "497 MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012333",
            "telephone_number": "203-735-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIRILLI",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "061359",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "13340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BERKOWITZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sashyana E Wright, BS
• Yale Podiatry Group PC
• Jeffrey F Yale, DPM
• Cynthia Anne Zafrin McCahill, LCSW
• Joel S Zaretzky, M.D.

• General Practice Dentistry in Ansonia, CT
• Providers in Ansonia, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.