Maria Nemelivsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

057945 Issued in NY

Practice address

751 Briggs Highway
Ellenville, NY 12428-5501

Phone

(845) 647-2000

Fax

(845) 647-2302

NPI assigned

Apr 9, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: maria.nemelivsky@damian.eclinicaldirectplus.com

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1033538772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89-56 162ND STREET",
            "address_2": "3RD FLOOR",
            "city": "JAMACIA",
            "state": "NY",
            "postal_code": "114325072",
            "telephone_number": "718-657-1100",
            "fax_number": "718-657-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BRIGGS HIGHWAY",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285501",
            "telephone_number": "845-647-2000",
            "fax_number": "845-647-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMELIVSKY",
        "first_name": "MARIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04450208",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn M Montelion Scribner, M.S., R.D., C.D.E
• Amanda Moradel, LPN
• Sharon Christie Mura-Naumchik, LPN
• Vida Ann Nathanson, LCSW
• Laura Marie Nelson
• New York Direct Medical PLLC
• Vera Nadia Nowakiwskyj, M.D.
• Chelsea O'Dell, LPN
• Corey O'Halloran
• Pamela Otti, MD

• General Practice Dentistry in Ellenville, NY
• Providers in Ellenville, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; 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.