Stacy Anne Spizuoco, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

050697 Issued in NY

Practice address

54 W 21St St RM 308
New York, NY 10010-7370

Phone

(917) 599-7588

NPI assigned

Apr 23, 2010

Sex

Female

Sole proprietor

No

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": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1891012357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 W 21ST ST RM 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107370",
            "telephone_number": "917-599-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 W 21ST ST RM 308",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107370",
            "telephone_number": "917-599-7588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7. W. 51st St.",
            "address_2": "7th Floor",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10019",
            "country_code": "US",
            "telephone_number": "212-688-1090",
            "fax_number": "212-397-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIZUOCO",
        "first_name": "STACY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Spivak, M.D.
• Scott J. Spivey Provencio, MD, MPHIL
• Christy Leeanne Spivey, OTR/L
• Philip B Spivey, PHD
• Amy Lynn Spizuoco, D.O.
• Megan Splain
• Emily Marie Splichal, DPM
• Veronika Splichalova, LMT
• Jeffrey Spodak, PSY.D.
• Melanie Spoerri

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.