DR. ALYSSA MARIE WRUCK (NPI# 1992142285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992142285 |
| Entity Type | Individual |
| Full Name | DR. ALYSSA MARIE WRUCK |
| Credential | DMD |
| Practice Address |
6336 Ny 25-a, Suite 2 Wading River NY 11792 |
| Practice Telephone | 6318863141 |
| Mailing Telephone | 6318863141 |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2019-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
059569-1 | NY | Dental Providers |
| Street Address |
6336 NY 25-A, SUITE 2 |
| City | WADING RIVER |
| State | NY |
| Zip Code | 11792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265906085 | Puja Kakar Godhwani | Nurse Practitioner | 6144 Ny-25a, Building C Suite 13, Wading River, NY 11792 | 2019-01-15 |
| 1336557230 | Danielle Schneider | Social Worker | 177 Cliff Rd West, Wading River, NY 11792 | 2014-07-24 |
| 1023428018 | Kristin Ponzini | Speech-Language Pathologist | 154 Sylvan Dr, Wading River, NY 11792 | 2014-04-30 |
| 1508281478 | Melissa Ellen Taylor | Audiologist | 5964 Route 25a, Wading River, NY 11792 | 2014-02-28 |
| 1639421803 | Barbara O. Higgins | Nutritionist | 12540 N Wading River Road, Little Flower Services, Wading River, NY 11792 | 2012-10-11 |
| 1821308545 | Sarah Jeanne Hogan | Licensed Practical Nurse | 63 Dogwood Dr, Wading River, NY 11792 | 2010-10-15 |
| 1336461854 | George Gabriel Hershman | Pharmacist | 1815 Wading River Manorville Road, Wading River, NY 11792 | 2010-02-25 |
| 1225365950 | Anne Valerie Nienstedt | Family Medicine | 67 Karen Court, Wading River, NY 11792 | 2009-11-18 |
| 1497894828 | Katherine Edith Gosman | Physical Therapist | 2098 N Wading River Rd, Wading River, NY 11792 | 2007-02-05 |
| 1225174535 | Denise M Delise | Social Worker | 37 Randell Rd, Wading River, NY 11792 | 2007-01-30 |
| Find all providers in zip 11792 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
| City | WADING RIVER |
| Zip Code | 11792 |
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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.