DR. MAURICIO WILTZ (NPI# 1760485247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760485247 |
| Entity Type | Individual |
| Full Name | DR. MAURICIO WILTZ |
| Credential | D.D.S. |
| Practice Address |
3332 Rochambeau Avenue Department of Dentistry, 2nd Floor Bronx NY 10467-2836 |
| Mailing Address |
36 Halstead Ave Yonkers NY 10704-3008 |
| Practice Telephone | 7189204984 |
| Practice Fax Number | 7185155419 |
| Mailing Telephone | 9142379094 |
| Mailing Fax Number | 7185155419 |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
043995 | NY | Dental Providers |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 043995 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01763744 | 05 |
| Street Address |
3332 ROCHAMBEAU AVENUE DEPARTMENT OF DENTISTRY, 2ND FLOOR |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210528 | Empire Oral and Maxillofacial Surgery Pllc | Oral & Maxillofacial Surgery | 4 Palisades Dr Ste 250, Albany, NY 12205-1448 | 2019-11-26 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1548632896 | Oral Surgery of Nny Pllc | Oral & Maxillofacial Surgery | 163 Bellew Ave S, Watertown, NY 13601-2390 | 2015-10-27 |
| 1528444601 | Mohsin Wazir | Oral & Maxillofacial Surgery | 355 E 73rd St, Apt 3a, New York, NY 10021-3766 | 2015-07-30 |
| 1982991485 | Steve Yusupov | Oral & Maxillofacial Surgery | 256-c Mason Ave, Staten Island, NY 10305 | 2011-07-05 |
| 1396044640 | Michael Harris Schiffman | Oral & Maxillofacial Surgery | 141 Franklin Pl Ste B, Woodmere, NY 11598-1244 | 2011-03-24 |
| 1962720680 | Oren Richman | Oral & Maxillofacial Surgery | Nassau University Medical Center, Dept of Oral Surgery, 2201 Hempstead Tpke, East Meadow, NY 11554 | 2010-05-05 |
| 1376866186 | Mohammad Okasha | Oral & Maxillofacial Surgery | L50 55th St, Brooklyn, NY 11220 | 2010-03-08 |
| 1891920575 | Jay D Kim | Oral & Maxillofacial Surgery | 119 W 57th St Ste 914, New York, NY 10019-2401 | 2009-05-25 |
| 1124279856 | Michael Proothi | Oral & Maxillofacial Surgery | 207 Hallock Rd Ste 2, Stony Brook, NY 11790-3072 | 2008-09-30 |
| Find all providers with the same taxonomy | ||||
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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.