Maximilian Selim Marks, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

060669 Issued in NY

Practice address

14167 73Rd Ter
Flushing, NY 11367-2333

Phone

(718) 268-7273

NPI assigned

May 22, 2018

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

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

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.

• Queens Emergency Dental

  • Dental Clinic/Center
  • Flushing, NY
  • NPI 1669272373
  NPD (past) Authorized official
• Kobak & Diamantakis DDS PC

  • Dental Clinic/Center
  • Syosset, NY
  • NPI 1669280178
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1194216523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LIVINGSTON PL",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467817",
            "telephone_number": "516-592-0229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14167 73RD TER",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113672333",
            "telephone_number": "718-268-7273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Jericho Tpke",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117914522",
            "country_code": "US",
            "telephone_number": "516-433-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKS",
        "first_name": "MAXIMILIAN",
        "middle_name": "SELIM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Ragusa DMD PC
• Mark Novick MD PC
• Leah Markov, MS/ CCC-A
• Miriam Danielle Markowitz, MS, OTR/L
• Barrow Marks, DDS
• Michael B Marouni, DDS
• Vanessa Marroquin-Matias
• Robert Arthur Marsh, OPTICIAN
• Tracy Marshall, MS
• Diane Martens

• General Practice Dentistry in Flushing, NY
• Providers in Flushing, 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 Aug 12, 2025; 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.