Provider Demographics
NPI:1811973415
Name:MUSCENTE, JOSEPH (OD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MUSCENTE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 YONKERS AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2695
Mailing Address - Country:US
Mailing Address - Phone:914-509-6660
Mailing Address - Fax:
Practice Address - Street 1:655 YONKERS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2695
Practice Address - Country:US
Practice Address - Phone:914-509-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYVUT0055931152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6599202OtherGHI PROVIDER ID
NY7778334OtherCIGNA PROVIDER ID
NY1271335OtherUNITED HEALTH CARE ID
NY203164481OtherHORIZON BLUE CROSS ID
NY205296POtherHIP ID NUMBER
NY203164481OtherMULTI-PLAN PROVIDER ID
NY4C9313OtherHEALTHNET PROVIDER ID
NYC400C1OtherBLUECROSS/BLUESHIELD ID
NY01931855Medicaid
NY203164481OtherPOMCO PROVIDER NUMBER
NYP2188657OtherOXFORD PROVIDER NUMBER
NY090005593NY01OtherANTHEM BC/BS ID #
NY141290OtherEYE MED ID
NYA300001030Medicare PIN
NY090005593NY01OtherANTHEM BC/BS ID #