Active NPI
Yehuda Marciano DDS PC
- Pediatric Dentistry
- Woodmere, NY
National Provider Identifier
1033749916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- YEHUDA MARCIANO DDS PC
- Practice address
- 932 Broadway Ste 1
Woodmere, NY 11598-1723 - Phone
- (516) 295-3733
- NPI assigned
- Jan 20, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yehuda Marciano, DDS
- Title
- Owner
- Phone
- (516) 295-3733
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
932 Broadway Ste 1
Woodmere, NY 11598-1723
Mailing address
932 Broadway Ste 1
Woodmere, NY 11598-1723
Phone (516) 295-3733
Other names 1
- Five Towns Pediatric Dentsitry
National Provider Directory
National Provider DirectoryLocations
932 Broadway
Ste 1
Woodmere, NY 11598
Phone (516) 295-3733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579478400000",
"number": "1033749916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "932 BROADWAY STE 1",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981723",
"telephone_number": "516-295-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 BROADWAY STE 1",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981723",
"telephone_number": "516-295-3733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YEHUDA MARCIANO DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-20",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A",
"authorized_official_last_name": "MARCIANO",
"authorized_official_first_name": "YEHUDA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "516-295-3733",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Five Towns Pediatric Dentsitry",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Woodmere, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.