Individual provider Active NPI

Nicholas J Giannuzzi, DDS

  • General Practice Dentistry
  • Miller Place, NY
National Provider Identifier
1659462265
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042240 Issued in NY
Practice address
10 Hunter Ave
Miller Place, NY 11764-2714
Phone
(631) 821-3838
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 042240 NY Primary

Addresses

Primary practice location

10 Hunter Ave
Miller Place, NY 11764-2714

Mailing address

10 Hunter Ave
Miller Place, NY 11764-2714
Phone (631) 821-3838

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
I20160310000569 NY Order and Referring Only - DentistPractitioner - Dentist 6103122544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659462265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HUNTER AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642714",
            "telephone_number": "631-821-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HUNTER AVE",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642714",
            "telephone_number": "631-821-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNUZZI",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

Verify at the official NPI Registry.