Mark B Birnbaum, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

032359 Issued in NY

Practice address

1777 Ocean Pkwy
Brooklyn, NY 11223-2060

Phone

(718) 998-9114

Fax

(718) 998-3727

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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)

Enrolled

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1043202179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232060",
            "telephone_number": "718-998-9114",
            "fax_number": "718-998-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232060",
            "telephone_number": "718-998-9114",
            "fax_number": "718-998-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNBAUM",
        "first_name": "MARK",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "032359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00399468",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabriel Birnbaum, LMSW
• Ira Birnbaum
• Jeffrey M. Birnbaum, MD MPH
• Larry Birnbaum, RPH
• Larry William Birnbaum, DDS
• Miriam Birnbaum, OTR
• Rachelle Birnbaum, OTR/L
• Rochel Leah Birnbaum
• Roselyn H Birnbaum
• Elana Birnberg, N.P.

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; 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.