Martin R. Boorin, DMD

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

039997 Issued in NY

Practice address

1087 Westminster Ave
Dix Hills, NY 11746-6340

Phone

(516) 776-0716

Fax

(631) 940-7227

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dental Anesthesiology Services PLLC

  • Dental Anesthesiology
  • Dix Hills, NY
  • NPI 1477492965
  NPD Authorized official
• Martin R Boorin, DMD PC

  • Dental Anesthesiology
  • Dix Hills, NY
  • NPI 1013359777
  NPD (past) Authorized official
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1043216435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 107",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "631-940-3690",
            "fax_number": "631-940-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 WESTMINSTER AVE",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466340",
            "telephone_number": "516-776-0716",
            "fax_number": "631-940-7227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOORIN",
        "first_name": "MARTIN",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "039997",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DIO1606400",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "7066",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NY",
            "license": "039997",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CT",
            "license": "7006",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NJ",
            "license": "220101606400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01020286",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00023886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rochelle Cullen Blumling
• Sara Renee Boccio, REGISTERED NURSE
• Angela Boggia
• Sandra Howard Bonat, MD
• Kelli-Anne Bonomi
• Sandra F Boriskin
• Jaimie Marisa Bornstein, MPH, RD, CDN
• Kia M Bourne, RDN
• Bettina J Bove, LCSW
• Alexis Breinberg, M.S. C.C.C.-S.L.P.

• Dental Anesthesiology in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Dental Anesthesiology in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.