Organization Active NPI

Frank C Mazzaferro DDS PLLC

  • Customized Equipment (DME)
  • Rome, NY
National Provider Identifier
1700638186
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
FRANK C MAZZAFERRO DDS PLLC
Practice address
610 N George St
Rome, NY 13440-4130
Phone
(315) 336-9140
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Dr. Frank Mazzaferro, DDSNPI 1407067044
Title
Dentist
Phone
(315) 336-9140

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
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

610 N George St
Rome, NY 13440-4130

Mailing address

610 N George St
Rome, NY 13440-4130
Phone (315) 336-9140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250129001028 NY DME Supplier - Oral Surgery - Dentist 4880123371 Practice locations: Rome, NY

National Provider Directory

National Provider Directory
Tax ID family
Fran2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1700638186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N GEORGE ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134404130",
            "telephone_number": "315-336-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N GEORGE ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134404130",
            "telephone_number": "315-336-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK C MAZZAFERRO DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "MAZZAFERRO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "315-336-9140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.