Witold Richard Wegorzewski, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

032968 Issued in NY

Practice address

444 Lakeville Rd
Lakeville Medical Center Suite 306
Lake Success, NY 11042

Phone

(516) 326-2510

Fax

(516) 326-1028

NPI assigned

Jan 27, 2012

Last updated

Jan 27, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327622400000",
    "number": "1770855462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "address_2": "LAKEVILLE MEDICAL CENTER SUITE 306",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-326-2510",
            "fax_number": "516-326-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 LAKEVILLE RD",
            "address_2": "LAKEVILLE MEDICAL CENTER SUITE 306",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-326-2510",
            "fax_number": "516-326-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGORZEWSKI",
        "first_name": "WITOLD",
        "middle_name": "RICHARD",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "032968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Vitale, MD
• Patricia M Vuguin, MD
• Henry Vuong, M.D.
• Ameeta Ahuja Walia, D.O.
• Toni Webster, D.O.
• Lora Weiselberg
• Erin White-Fomin, OTR
• Allen J Wiesenfeld, MD
• Anna Wilga, LMHC
• Robert Wulwick, M.D.

• Dentist in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.