Individual provider Active NPI

Marshall B Golan, DDS

  • Dentist
  • Manhasset Hills, NY
National Provider Identifier
1245248491
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28942 Issued in NY
Practice address
369 Old Courthouse Rd
Manhasset Hills, NY 11040
Phone
(516) 627-1687
Fax
(516) 627-0140
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 28942 NY Primary

Addresses

Primary practice location

369 Old Courthouse Rd
Manhasset Hills, NY 11040

Mailing address

369 Old Courthouse Rd
Manhasset Hills, NY 11040
Phone (516) 627-1687

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

State licenses

LicenseStateTypeSpecialty
28942NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245248491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 OLD COURTHOUSE RD",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-627-1687",
            "fax_number": "516-627-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 OLD COURTHOUSE RD",
            "city": "MANHASSET HILLS",
            "state": "NY",
            "postal_code": "11040",
            "telephone_number": "516-627-1687",
            "fax_number": "516-627-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLAN",
        "first_name": "MARSHALL",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "28942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhasset Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.