Organization Active NPI

Shay Markovitch Dentistry, PLLC

Doing business as Columbia Street Dental Group

  • General Practice Dentistry
  • Hudson, NY
National Provider Identifier
1073294294
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHAY MARKOVITCH DENTISTRY, PLLC
Doing business as
Columbia Street Dental Group
Practice address
876 Columbia St
Hudson, NY 12534-2360
Phone
(518) 671-6002
NPI assigned
Jul 31, 2023
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SHAY MARKOVITCH DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Elizabeth Worthman
Title
Regional Manager
Phone
(845) 842-9221

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU
General Practice Dentistry 1223G0001X NU Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU

Addresses

Primary practice location

876 Columbia St
Hudson, NY 12534-2360

Mailing address

876 Columbia St
Hudson, NY 12534-2360

Other names 1

  • Columbia Street Dental Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shay Markovitch Dentistry PLLC13 organizations share this tax ID, including this one
Part of
Shay Markovitch Dentistry PLLC

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1073294294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 COLUMBIA ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 COLUMBIA ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342360",
            "telephone_number": "518-671-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAY MARKOVITCH DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAY MARKOVITCH DENTISTRY, PLLC",
        "enumeration_date": "2023-07-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "WORTHMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "845-842-9221"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Street Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.