Elzbieta Marcinczyk, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

010019 Issued in CT

Practice address

270 Burnside Ave
East Hartford, CT 06108-2315

Phone

(860) 289-9558

Fax

(860) 289-9054

NPI assigned

May 29, 2008

Sex

Female

Sole proprietor

No

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 CT

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

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.

• Burnside Dental Care, PC

  • Dentist
  • East Hartford, CT
  • NPI 1417163122
  NPD (past)
• Newington Dental Care PLLC

  dba Cedar Mountain Dental

  • Dental Clinic/Center
  • Newington, CT
  • NPI 1235608720
  NPD (past)

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1164680989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 STERLING DR",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061112259",
            "telephone_number": "860-922-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BURNSIDE AVE",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061082315",
            "telephone_number": "860-289-9558",
            "fax_number": "860-289-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINCZYK",
        "first_name": "ELZBIETA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-29",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "010019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004011136",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breah K Manning
• Marathon Healthcare of Torrington
• Susan Marie Marchinetti Jr.
• Christina Marchitto, LCSW
• Marcia Loving Care Home Care Agency
• Stephen Santino Marcucci, M.S. OTR/L
• Rachel Marcus, LCSW
• Suzanne Margo
• Brendan Marinan, D.C.
• Elizabeth Joy Marjoram, RBT, CPR

• General Practice Dentistry in East Hartford, CT
• Providers in East Hartford, CT by specialty
• General Practice Dentistry in Connecticut

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