Individual provider Active NPI

Sylvia Enid Arsuaga Cruet, DMD

  • Periodontics
  • Mamaroneck, NY
National Provider Identifier
1811311137
Registry record updated Jan 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
058953 Issued in NY
Practice address
626 E Boston Post Rd
Mamaroneck, NY 10543-3741
Phone
(914) 821-6262
NPI assigned
Feb 6, 2014
Last updated
Jan 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 058953 NY Primary

Addresses

Primary practice location

626 E Boston Post Rd
Mamaroneck, NY 10543-3741

Mailing address

3 Consulate Dr
Tuckahoe, NY 10707-2434
Phone (914) 821-6262

Other practice location 1

Carr #3 Km. 8.3 Ave. 65 de infanteria
Carolina, PR 00984
Phone (787) 757-1800 ext. 678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
058953NYMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
The Dental Equation, PLLC CurrentSince Jan 24, 2021 Accepting new patients

Locations

626 E Boston Post Rd
Mamaroneck, NY 10543
Phone (787) 360-8754

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610755200000",
    "number": "1811311137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CONSULATE DR",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072434",
            "telephone_number": "914-821-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E BOSTON POST RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433741",
            "telephone_number": "914-821-6262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr #3 Km. 8.3 Ave. 65 de infanteria",
            "address_purpose": "LOCATION",
            "city": "Carolina",
            "state": "PR",
            "postal_code": "00984",
            "country_code": "US",
            "telephone_number": "787-757-1800 x678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARSUAGA CRUET",
        "first_name": "SYLVIA",
        "middle_name": "ENID",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2021-01-16",
        "certification_date": "2021-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "058953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2021; 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.