NPIMap

Organization Active NPI

Vincent M. Mazurek, DDS, PC

  • Dentist
  • Smithtown, NY
National Provider Identifier
1871877365
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
035995-1 Issued in NY
Legal business name
VINCENT M. MAZUREK, DDS, PC
Practice address
823 W Jericho Tpke
Suite 1B
Smithtown, NY 11787-3216
Phone
(631) 543-0550
NPI assigned
Oct 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Vincent M. Mazurek, DDSNPI 1639412323
Title
President
Phone
(631) 543-0550

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 035995-1 NY Primary

Addresses

Primary practice location

823 W Jericho Tpke
Suite 1B
Smithtown, NY 11787-3216

Mailing address

823 W Jericho Tpke
Suite 1B
Smithtown, NY 11787-3216
Phone (631) 543-0550

National Provider Directory

National Provider Directory

Locations

823 W Jericho Tpke
Ste 1B
Smithtown, NY 11787
Phone (631) 543-0550

Practitioners & affiliated clinicians

Practitioners 2

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": "1317686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1871877365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 W JERICHO TPKE",
            "address_2": "SUITE 1B",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873216",
            "telephone_number": "631-543-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 W JERICHO TPKE",
            "address_2": "SUITE 1B",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873216",
            "telephone_number": "631-543-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT M. MAZUREK, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-04",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "MAZUREK",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-543-0550",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "035995-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.