Steven R Izzo DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

042245 Issued in NY

Legal business name

STEVEN R IZZO DDS PC

Practice address

6853 Fresh Pond Rd
Ridgewood, NY 11385-5263

Phone

(718) 821-2545

Fax

(718) 418-2809

NPI assigned

Oct 30, 2008

Last updated

Nov 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Steven R Izzo, DDSNPI 1750379699

Title

Owner

Phone

(718) 821-2545

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven R Izzo, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Ridgewood, NY
  • NPI 1750379699
  Authorized official Same address or phone
• Oren Richman, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • East Meadow, NY
  • NPI 1962720680
  NPD (past)

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1962655209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855263",
            "telephone_number": "718-821-2545",
            "fax_number": "718-418-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6853 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855263",
            "telephone_number": "718-821-2545",
            "fax_number": "718-418-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R IZZO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-30",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "IZZO",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-821-2545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "042245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Standard Rehab PT PC
• John George Stanescu, DDS
• Daniel Staniszewski
• Stein Opticians Inc (Ridgewood Opticians)
• Stephen C. Perrone, M.D., P.C.
• Yae Ji Suh, L.AC
• Urvarshi Suri
• Ewa Szostak
• Barbara Sztukowski
• Danielle Valerie Albeos Tabel-Casio, PT

• Oral and Maxillofacial Surgery (Dentist) in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.