Individual provider Active NPI

Shay Markovitch, D.D.S

  • General Practice Dentistry
  • Yonkers, NY
National Provider Identifier
1124165519
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054658 Issued in NY
Practice address
984 N Broadway Ste 410
Yonkers, NY 10701-1308
Phone
(914) 476-3838
Fax
(914) 476-3080
NPI assigned
Feb 1, 2007
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 054658 NY Primary

Addresses

Primary practice location

984 N Broadway Ste 410
Yonkers, NY 10701-1308

Mailing address

984 N Broadway Ste 410
Yonkers, NY 10701-1308
Phone (914) 476-3838

Other practice location 1

1323 Route 9 Ste 209
Wappingers Falls, NY 12590-4977
Phone (845) 297-0757

Other identifiers 1

IdentifierTypeStateIssuer
03519528MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shay Markovitch Dentistry PLLC CurrentSince Jul 24, 2022 Accepting new patients
Shay Markovitch Dentistry PLLC General Practice PastSince Aug 28, 2022 Accepting new patients
Stacie T Calian DDS PC PastSince Aug 28, 2022 Accepting new patients

Locations

1323 Route 9
Ste 209
Wappingers Falls, NY 12590
Phone (845) 297-0757

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1124165519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY STE 410",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011308",
            "telephone_number": "914-476-3838",
            "fax_number": "914-476-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 N BROADWAY STE 410",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011308",
            "telephone_number": "914-476-3838",
            "fax_number": "914-476-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1323 Route 9 Ste 209",
            "address_purpose": "LOCATION",
            "city": "Wappingers Falls",
            "state": "NY",
            "postal_code": "125904977",
            "country_code": "US",
            "telephone_number": "845-297-0757",
            "fax_number": "845-297-0106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKOVITCH",
        "first_name": "SHAY",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03519528",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, 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.