Mark C Pugliese, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN002188 Issued in PA

Practice address

2031 Hay Terrace
Easton, PA 18042

Phone

(610) 252-3861

Fax

(610) 253-7934

NPI assigned

May 29, 2015

Last updated

May 29, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Quiet Valley Dental, PC

  • Dental Clinic/Center
  • Sciota, PA
  • NPI 1003438482
  NPD Authorized official
• Easton Family Dental

  • General Practice Dentistry
  • Easton, PA
  • NPI 1740842384
  NPD (past)

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432857600000",
    "number": "1629457197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 HAY TER",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180424651",
            "telephone_number": "610-252-3861",
            "fax_number": "610-253-7934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 HAY TERRACE",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "18042",
            "telephone_number": "610-252-3861",
            "fax_number": "610-253-7934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGLIESE",
        "first_name": "MARK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DN002188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Eye Associates (Visionnaires)
• Progressive Vision Institute of Bethlehem PC
• Progressive Women OB-GYN
• Thomas Psitos, PT
• Eric Scott Pugliese, DMD
• Pulse Whole Health I PC (Pulse Whole Health)
• Pulse Whole Health LLC
• Marissa Pultz, PA
• Terry J Pundiak, M.D.
• Kimberly Puzio, MS,CCC-SLP

• General Practice Dentistry in Easton, PA
• Providers in Easton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.