Santos and Mroczek DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SANTOS AND MROCZEK DDS PC

Practice address

1991 Victory Blvd
Staten Island, NY 10314-3519

Phone

(718) 981-7103

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Michael Mroczek, DDS

Title

Vice-President

Phone

(718) 981-7103

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gracelyn Fernandez Santos, DDS

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1407066301
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902016801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143519",
            "telephone_number": "718-981-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1991 VICTORY BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103143519",
            "telephone_number": "718-981-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTOS AND MROCZEK DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MROCZEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "718-981-7103",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Easterday Santlofer, LCSW
• Evelyn Santoro
• Lauren Santoro
• Michael Patrick Santoro, M.D.
• Stephanann Santoro, P.T.
• Carmelynne Aranzaso Santos, PT
• Gracelyn Fernandez Santos, DDS
• John Patrick Santos, PT
• Ashley Santucci
• Oluwafemi Sanyaolu

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.