Data Notice: All results sourced from the public CMS NPPES NPI Registry (45 CFR Part 162), for healthcare administrative use only (credentialing, billing, insurance verification). Not for law enforcement or legal proceedings. Not affiliated with CMS, HHS, or the US Government. Verify critical details at npiregistry.cms.hhs.gov. No queries stored.
Export Provider Record NPI 1184081960
James PezzolloDMD
Active
NPI Number1184081960
NPI TypeNPI-1 Individual
SpecialtyDentist, Oral and Maxillofacial Surgery
Provider Details
NPI1184081960
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2016-01-25
Last Updated2024-04-24
Mailing Address601 Franklin Ave Ste 110
Garden City, NY 11530-5760
United States
Phone: (516) 274-9979
📍 View Map
Primary Practice Address601 Franklin Ave Ste 110
Garden City, NY 11530-5760
United States
Phone: (516) 741-4415
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223S0112X – Dentist, Oral and Maxillofacial SurgeryNY061142
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About NPI 1184081960

James Pezzollo DMD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184081960. The primary specialty listed is Dentist, Oral and Maxillofacial Surgery. The provider is located in Garden City, NY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-01-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1184081960?

NPI 1184081960 belongs to James Pezzollo DMD, a Dentist, Oral and Maxillofacial Surgery in Garden City, NY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1184081960 active?

The current status of NPI 1184081960 in the NPPES registry is Active. The record was last updated on 2024-04-24.

What specialty is NPI 1184081960?

NPI 1184081960 is classified under the taxonomy Dentist, Oral and Maxillofacial Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1184081960?

You can verify NPI 1184081960 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1184081960?

The primary practice address on file for NPI 1184081960 is 601 Franklin Ave Ste 110, Garden City, NY 11530-5760. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1184081960 issued?

NPI 1184081960 was first issued (enumerated) on 2016-01-25. The NPPES record was last updated on 2024-04-24.

Practice Location Map

James Pezzollo is located at 601 Franklin Ave Ste 110, Garden City, NY. Use the map below to find directions or verify the practice location.

📍 601 Franklin Ave Ste 110, Garden City, NY 11530-5760  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as James Pezzollo. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1184081960. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, Oral and Maxillofacial Surgery061142NY
Data Verified from CMS NPPES Last synced: 2026-08-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162