Organization Active NPI

Marc Nardea DMD PLLC

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1215745203
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
MARC NARDEA DMD PLLC
Practice address
347 5TH Ave RM 1210
New York, NY 10016-5025
Phone
(908) 309-4845
NPI assigned
Dec 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Authorized official

Name
Marc Nardea, DMDNPI 1114480324
Title
Owner and Pediatric Dentist
Phone
(908) 309-4845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

347 5TH Ave RM 1210
New York, NY 10016-5025

Mailing address

347 5TH Ave RM 1210
New York, NY 10016-5025
Phone (908) 309-4845

Other names 1

  • Midtown Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

347 5th Ave
Rm 1210
New York, NY 10016
Phone (401) 589-5864

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734739200000",
    "number": "1215745203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 5TH AVE RM 1210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165025",
            "telephone_number": "908-309-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 5TH AVE RM 1210",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165025",
            "telephone_number": "908-309-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC NARDEA DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-21",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A",
        "authorized_official_last_name": "NARDEA",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER AND PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "908-309-4845",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midtown Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2024; 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.