1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Oral Maxillofacial Surgery
  6. NPI Profile

DR. MAURICIO WILTZ D.D.S.
NPI 1760485247
Oral & Maxillofacial Surgery in Bronx, NY

Active since May 27, 2005PECOS Enrolled
3332 ROCHAMBEAU AVENUE, DEPARTMENT OF DENTISTRY, 2ND FLOOR, BRONX, NY 10467(718) 920-4984(718) 515-5419 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mauricio Wiltz D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MAURICIO WILTZ D.D.S. (NPI 1760485247) is an individual oral & maxillofacial surgery provider in Bronx, New York, licensed in New York (043995) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760485247
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. MAURICIO WILTZCredential: D.D.S.
Location Address3332 ROCHAMBEAU AVENUE, DEPARTMENT OF DENTISTRY, 2ND FLOORBronx, NY 10467-2836
Mailing Address36 Halstead AveYonkers, NY 10704-3008 · (914) 237-9094 · Fax (718) 515-5419
Phone(718) 920-4984
Fax(718) 515-5419
Sole ProprietorYes
Enumeration DateMay 27, 2005
Last NPPES UpdateNovember 26, 2019
✔ NPI 1760485247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NY · 043995
Definition
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.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 043995 (NY)
3332 ROCHAMBEAU AVENUE, Bronx, NY 10467
Open in Google Maps ↗

Other Identifiers 1

Medicaid01763744NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mauricio Wiltz D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mauricio Wiltz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
Same address
Dentist
111 E 210TH ST, MMC DENTAL
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 13 clinicians in this Medicare group
NPI 1275710519 (718) 920-4167

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mauricio Wiltz's NPI number?

The NPI number for Mauricio Wiltz is 1760485247. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Mauricio Wiltz located?

Mauricio Wiltz practices at 3332 Rochambeau Avenue Department Of Dentistry, 2nd Floor, Bronx, NY 10467. The listed phone number is (718) 920-4984.

What is Mauricio Wiltz's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mauricio Wiltz enrolled in Medicare?

Yes. Mauricio Wiltz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mauricio Wiltz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mauricio Wiltz reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mauricio Wiltz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mauricio Wiltz accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Mauricio Wiltz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mauricio Wiltz was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.