DR. VINCENT PETRAZZUOLO (NPI# 1629172077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629172077 |
| Entity Type | Individual |
| Full Name | DR. VINCENT PETRAZZUOLO |
| Credential | DDS |
| Practice Address |
130 W Kingsbridge Rd Bronx NY 10468 |
| Mailing Address |
673 Mabie St New Milford NJ 07646-2037 |
| Practice Telephone | 7185849000 |
| Practice Fax Number | 7187414618 |
| Mailing Telephone | 2012610938 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0700X |
Dentist Specialization: Prosthodontics |
22DI01165400 | NJ | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0311801 | NY | Dental Providers |
| Street Address |
130 W KINGSBRIDGE RD |
| City | BRONX |
| State | NY |
| Zip Code | 10468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991185 | Solomon Nadler | Dentist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2005-06-02 |
| 1124628755 | Eka Beriashvili | Pharmacist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-11-01 |
| 1578170528 | Luisa Mejia | Radiology | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-09-24 |
| 1881208148 | Christina Heng | Nurse Practitioner | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-09-03 |
| 1629687710 | Maria Kyritsi | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-24 |
| 1013525336 | Adam Adam | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-22 |
| 1700494267 | Vaishali Geedigunta | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-21 |
| 1134737786 | Gavro Jelic | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-20 |
| 1255959664 | Mirjana Barjaktarovic | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-12 |
| 1124645171 | Olivia Castro | Respiratory Therapist, Registered | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538335633 | Sitki Murat Dogus | Dentist | 3332 Rochembeau Ave, Floor 2, Bronx, NY 10467 | 2008-05-08 |
| 1093966517 | Caroline Kim | Dentist | 55 E Mosholu Pkwy N, Bronx, NY 10467-2625 | 2008-10-02 |
| 1861641094 | Francesco P Maratta | Dentist | 3332 Rochambeau Ave, Bronx, NY 10467-2836 | 2008-09-11 |
| 1053473207 | Kenneth M Schweitzer | Dentist | 111 E 210th St, Bronx, NY 10467-2401 | 2006-12-14 |
| 1063581171 | Kenneth S Kurtz | Dentist | 111 E 210th St, Bronx, NY 10467-2401 | 2006-11-06 |
| 1679670111 | Gerald F Sabol | Dentist | 130 West Kingsbridge Road, Bronx, NY 10468 | 2006-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382143 | Weon Jae Choi | Dentist | 22 N 6th St Apt 9o, Brooklyn, NY 11249-3083 | 2020-09-29 |
| 1053927624 | Victor Yin Yu Lee | Dentist | 130 Fort Washington Ave Ofc 1b, New York, NY 10032-4724 | 2020-09-19 |
| 1972111441 | Lex Prosthodontics, Pllc | Dentist | 185 E 85th St Ofc 2, New York, NY 10028-2191 | 2020-07-21 |
| 1437767936 | Gramercy Prosthodontics, Pllc | Dentist | 130 E 18th St Ofc 1m, New York, NY 10003-2400 | 2020-07-21 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1346707916 | 5d Dental Pllc | Dentist | 150 Irving Place, Woodmere, NY 11598 | 2019-03-01 |
| 1699274829 | Westchester Dental Design, PC | Dentist | 1915 Central Park Ave Ste 201, Yonkers, NY 10710-2949 | 2018-02-02 |
| 1073031506 | Rhugielyn Mangaoang | Dentist | 51 W 51st St Ste 350, New York, NY 10019 | 2017-09-05 |
| 1811412174 | Allen & Schwarz Dental Pllc | Dentist | 30 Central Park S Rm 10b, New York, NY 10019-1628 | 2017-08-08 |
| 1407393424 | Thomas Fuschetto | Dentist | 33 Cedar St Ste 1, Rye, NY 10580-2031 | 2017-01-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. VINCENT PETRAZZUOLO.
| 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.