Organization Active NPI

Marble Hill Dental Office, PC

  • Dentist
  • Bronx, NY
National Provider Identifier
1033453873
Registry record updated Nov 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045605 Issued in NY
Legal business name
MARBLE HILL DENTAL OFFICE, PC
Practice address
112 W 228TH St
Bronx, NY 10463-6625
Phone
(718) 584-9890
NPI assigned
Nov 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ana Silvia Rojas, DDS
Title
President
Phone
(718) 584-9890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 045605 NY Primary

Addresses

Primary practice location

112 W 228TH St
Bronx, NY 10463-6625

Mailing address

112 W 228TH St
Bronx, NY 10463-6625
Phone (718) 584-9890

Other identifiers 1

IdentifierTypeStateIssuer
01635116MedicaidNY

National Provider Directory

National Provider Directory

Locations

112 W 228th St
Bronx, NY 10463
Phone (718) 584-9890

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353110400000",
    "number": "1033453873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 228TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636625",
            "telephone_number": "718-584-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 228TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104636625",
            "telephone_number": "718-584-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARBLE HILL DENTAL OFFICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-17",
        "status": "A",
        "authorized_official_last_name": "ROJAS",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "SILVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-584-9890",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "045605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01635116",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.