Organization Active NPI

Yehuda Marciano DDS PC

  • Pediatric Dentistry
  • Woodmere, NY
National Provider Identifier
1033749916
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
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

Updated by the provider on Jan 20, 2020

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.