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DR. MARY -KAY ANNUZZI DMD
NPI 1871622787
Dentist - Pediatric Dentistry in Sicklerville, NJ

Active since March 05, 2007Opted out of Medicare · through Jun 6, 2028
1304 LIBERTY PL, SICKLERVILLE, NJ 08081(856) 875-9550(856) 875-0180 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mary -kay Annuzzi Dmd NPPES

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

DR. MARY -KAY ANNUZZI DMD (NPI 1871622787) is an individual pediatric dentistry provider in Sicklerville, New Jersey, licensed in New Jersey (DI 02215) and active in the NPI registry since March 2007. She has opted out of Medicare through June 6, 2028.

NPPES Registry Identity

NPI1871622787
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. MARY -KAY ANNUZZICredential: DMD
Location Address1304 LIBERTY PLSicklerville, NJ 08081-5710
Mailing Address533 Judy AveFranklinville, NJ 08322-3912 · (856) 582-1000 · Fax (856) 589-1093
Phone(856) 875-9550
Fax(856) 875-0180
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 8, 2021
NPPES CertifiedSeptember 8, 2021
✔ NPI 1871622787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in NJ · DI 02215
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1304 LIBERTY PL, Sicklerville, NJ 08081
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Mary -kay Annuzzi Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 6, 2016 through June 6, 2028.

Opt-Out Effective DateJune 6, 2016
Opt-Out In Effect ThroughJune 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMILY FRANCES EILERMAN BILLS DMD
Dentist (Pediatric Dentistry)
1304 LIBERTY PL
SICKLERVILLE, NJ 08081
Camden County (856) 875-9550
DR. KRISTIANNE VIDAL MACARAEG KRACKE DMD
Dentist (Pediatric Dentistry)
1304 LIBERTY PL
SICKLERVILLE, NJ 08081
Camden County (856) 875-9550
DR. JACKLYN MICHELE BROWN D.D.S.
Dentist (Pediatric Dentistry)
1304 LIBERTY PL
SICKLERVILLE, NJ 08081
Camden County (856) 875-9550

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 Mary -kay Annuzzi's NPI number?

The NPI number for Mary -kay Annuzzi is 1871622787. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Mary -kay Annuzzi located?

Mary -kay Annuzzi practices at 1304 Liberty Pl, Sicklerville, NJ 08081. The listed phone number is (856) 875-9550.

What is Mary -kay Annuzzi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Mary -kay Annuzzi enrolled in Medicare?

No. Mary -kay Annuzzi has opted out of Medicare through June 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Mary -kay Annuzzi accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana and 1 other insurer list Mary -kay Annuzzi 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 Mary -kay Annuzzi was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.