Mark Stein, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

046879 Issued in NY

Practice address

800B 5TH Ave Ste 1
New York, NY 10065-7277

Phone

(212) 888-4760

Fax

(212) 888-4710

NPI assigned

Apr 10, 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

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Staten Island Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Staten Island, NY
  • NPI 1316217763
  Medicare reassignment NPD
• Dr Koslovsky DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
  • NPI 1093066581
  NPD

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1093778102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800B 5TH AVE STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657277",
            "telephone_number": "212-888-4760",
            "fax_number": "212-888-4760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800B 5TH AVE STE 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657277",
            "telephone_number": "212-888-4760",
            "fax_number": "212-888-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "046879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02318014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Stein, MD
• Laura B Stein, LMSW
• Laura Katherine Stein, MD
• Lauren Stein, M.S. CCC-SLP, TSSLD
• Lisa Beth Stein, PTA
• Mark Stein, M.D.
• Mark Nathan Stein, MD
• Martin G Stein, M.D.
• Mia Nicole Stein, MHC-LP
• Michael Jonathan Stein, MD

• Oral and Maxillofacial Surgery (Dentist) in New York, NY
• Providers in New York, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; 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.