DR. ANTHONY WILLIAM FAZIO (NPI# 1205049053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205049053 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY WILLIAM FAZIO |
| Credential | DDS |
| Practice Address |
2600 Route 112 Medford NY 11763 |
| Mailing Address |
111 Spruce Dr Holbrook NY 11741 |
| Practice Telephone | 6314753345 |
| Practice Fax Number | 6314751090 |
| Mailing Telephone | 6312071334 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0472071 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063612505 | Anthony Fazio | Acupuncturist | 422 Taylor Pl, Ithaca, NY 14850-3137 | 2007-07-23 |
| 1922493667 | Anthony Fazio | Physical Therapist | 80 Oak Hill Rd, Red Bank, NJ 07701-5727 | 2015-03-31 |
| 1801197371 | Anthony John Fazio | Pharmacist | 4747-10 Nesconset Hwy, Port Jefferson Station, NY 11776-2880 | 2010-11-15 |
| 1134441439 | Anthony Fazio | Pharmacist | 133 Lakeview Ave, Lynbrook, NY 11563-1742 | 2010-02-28 |
| 1437293412 | Anthony Fazio | Pharmacist | 65 Bergen Street, Umdnj Suite 1011, Newark, NJ 07101-1709 | 2007-02-16 |
| Street Address |
2600 ROUTE 112 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573237 | Ishpreet Kaur | Dentist | 1759 N Riverside Ave, Medford, OR 97501-4628 | 2020-09-17 |
| 1154975076 | Patricia Rose Suing | Dentist | 1420 E Mcandrews Rd, Medford, OR 97504-6108 | 2019-07-29 |
| 1558920298 | Grace Jotika Dmd PC | Dentist | 0 Governors Ave Ste 1, Medford, MA 02155-3035 | 2019-06-06 |
| 1699266866 | Brent Hale | Dentist | 980 N Phoenix Rd Ste 101, Medford, OR 97504-9447 | 2018-05-23 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1679060677 | James Alexander | Dentist | 42 Pitcher Ave, Medford, MA 02155-2101 | 2018-04-16 |
| 1245731934 | Betty Vasiliki Alepedis-stoukides | Dentist | 12 Badger Rd, Medford, MA 02155-2937 | 2018-02-27 |
| 1073014700 | Asnis Dental, Pllc | Dentist | 1645 Route 112 Ste A, Medford, NY 11763-3662 | 2018-02-27 |
| 1336689835 | Gary A. Rosenfeld, Dds, PC | Dentist | 2801 Route 112, Suite A, Medford, NY 11763-2568 | 2017-03-02 |
| 1801269261 | James Kolby Robinson | Dentist | 1291 E. Mcandrews Rd., Medford, OR 80238-2506 | 2015-11-06 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.