Vincent M Mazurek, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

035995-1 Issued in NY

Practice address

823 W Jericho Tpke
Suite 1B
Smithtown, NY 11787-3216

Phone

(631) 543-0550

NPI assigned

Apr 1, 2013

Sex

Male

Sole proprietor

No

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

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.

• Vincent M. Mazurek, DDS, PC

  • Dentist
  • Smithtown, NY
  • NPI 1871877365
  NPD (past) Authorized official

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1639412323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W JERICHO TPKE",
            "address_2": "SUITE 1B",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873216",
            "telephone_number": "631-543-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W JERICHO TPKE",
            "address_2": "SUITE 1B",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873216",
            "telephone_number": "631-543-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUREK",
        "first_name": "VINCENT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035995-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julieann Rose Mauro, PMHNP
• Daniel Mayer, M.D.
• Bruce Roy Mayerson, MD
• Latoya Mayhurin
• Valerie Mazliah, MSED LBCBA
• Katelyn Mazzaro
• Barbara D Mazzola, ANP
• Mary Jo McBride
• Lauren Stacie McCabe, LCSW
• Gayle McCarthy, LCSW

• Dentist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.