Organization Active NPI

Peter D Maro Jr D M D M S P C

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rye, NY
National Provider Identifier
1679196679
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
PETER D MARO JR D M D M S P C
Practice address
262 Purchase St
Rye, NY 10580-2169
Phone
(914) 967-2277
Fax
(914) 967-2292
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2020

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

Authorized official

Name
Dr. Peter Daniel Maro Jr., DMDNPI 1588874598
Title
Owner
Phone
(914) 967-2277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

262 Purchase St
Rye, NY 10580-2169

Mailing address

6 Beach Dr
Darien, CT 06820-5608
Phone (203) 829-4614

Other practice location 1

777 Boston Post Rd Ste 300
Darien, CT 06820-4721
Phone (203) 202-7610

Other names 1

  • Blue Wave Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

777 Boston Post Rd
Ste 300
Darien, CT 06820
Phone (203) 202-7610

262 Purchase St
Rye, NY 10580
Phone (914) 921-0524

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1679196679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BEACH DR",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068205608",
            "telephone_number": "203-829-4614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 PURCHASE ST",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105802169",
            "telephone_number": "914-967-2277",
            "fax_number": "914-967-2292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Boston Post Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Darien",
            "state": "CT",
            "postal_code": "068204721",
            "country_code": "US",
            "telephone_number": "203-202-7610",
            "fax_number": "203-202-7961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PETER D MARO JR D M D M S P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "MARO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-967-2277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Wave Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.