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

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, DDS

Title

Owner

Phone

(718) 821-2545

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01594536",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Standard Rehab PT PC
• John George Stanescu, DDS
• Daniel Staniszewski
• Stein Opticians Inc
• 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.