Active NPI
Marina Shraga, D.D.S
- General Practice Dentistry
- Boynton Beach, FL
National Provider Identifier
1023227642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052174
- Practice address
- 9868 S State Road 7 Ste 200
Boynton Beach, FL 33472-4473 - Phone
- (561) 462-1212
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27143 | FL | |
| General Practice Dentistry | 1223G0001X | 052174 | NY | Primary |
Addresses
Primary practice location
9868 S State Road 7 Ste 200
Boynton Beach, FL 33472-4473
Mailing address
10149 Woodhaven Blvd Ste 2
Ozone Park, NY 11416-2300
Phone (917) 797-7272
Other practice location 1
10149 Woodhaven Blvd
Suite 2 / Dental Office
Ozone Park, NY 11416-2300
Phone (718) 848-7722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02721117 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27143 | FL | MD | General Practice Dentistry |
| 052174 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Citidental of Woodhaven PC | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1023227642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10149 WOODHAVEN BLVD STE 2",
"city": "OZONE PARK",
"state": "NY",
"postal_code": "114162300",
"telephone_number": "917-797-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9868 S STATE ROAD 7 STE 200",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334724473",
"telephone_number": "561-462-1212"
}
],
"practiceLocations": [
{
"address_1": "10149 Woodhaven Blvd",
"address_2": "Suite 2 / Dental Office",
"address_purpose": "LOCATION",
"city": "Ozone Park",
"state": "NY",
"postal_code": "114162300",
"country_code": "US",
"telephone_number": "718-848-7722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHRAGA",
"first_name": "MARINA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "27143",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02721117",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.