Marshall S. Skopp, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045275 Issued in NY

Practice address

2040 Forest Ave
Staten Island, NY 10303-1737

Phone

(718) 982-5230

Fax

(718) 982-5231

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043250236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031737",
            "telephone_number": "718-982-5230",
            "fax_number": "718-982-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031737",
            "telephone_number": "718-982-5230",
            "fax_number": "718-982-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOPP",
        "first_name": "MARSHALL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirna Skenderija
• Michael J Skinner, L.C.S.W.
• Kirill Skipalskiy, DPT
• Dillon Sage Sklar, PT
• Casandra Skomina, LMHC
• Alla Skovpenya, R-PAC
• Richard Skow, R.N.
• Jack Skowron, MD
• Wojciech Skrzypiec, MD
• Liudmila A Skudnov, DO

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, 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 Jul 8, 2007; 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.