Active NPI
Rachel Marmor
- Dentist
- New York, NY
National Provider Identifier
1245478189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054509
- Practice address
- 140 W 69TH St
Apt 51
New York, NY 10023-5107 - Phone
- (516) 562-4525
- NPI assigned
- Jan 30, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22DI02471000 | NJ | |
| Dentist | 122300000X | 054509 | NY | Primary |
| Dentist | 122300000X | 4665 | WV | |
| Dentist | 122300000X | 013595 | CT | |
| Dentist | 122300000X | DDS60803 | CA |
Addresses
Primary practice location
140 W 69TH St
Apt 51
New York, NY 10023-5107
Mailing address
140 W 69TH St
Apt 51
New York, NY 10023-5107
Other practice location 1
76 Progress Dr Ste 123
Stamford, CT 06902-3603
Phone (914) 835-6004 ext. 703
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS60803 | CA | MD | Dentist |
| 013595 | CT | MD | Dentist |
| 22DI02471000 | NJ | MD | Dentist |
| 054509 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marmor Ny Dental PC | Current | Accepting new patients |
Locations
76 Progress Dr
Ste 123
Stamford, CT 06902
Phone (833) 765-8373
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Auburn, NY
- NPI 1891563961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1245478189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W 69TH ST",
"address_2": "APT 51",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100235107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 W 69TH ST",
"address_2": "APT 51",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100235107",
"telephone_number": "516-562-4525"
}
],
"practiceLocations": [
{
"address_1": "76 Progress Dr Ste 123",
"address_purpose": "LOCATION",
"city": "Stamford",
"state": "CT",
"postal_code": "069023603",
"country_code": "US",
"telephone_number": "914-835-6004 x703",
"fax_number": "914-560-2216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARMOR",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-30",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI02471000",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054509",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "4665",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CT",
"license": "013595",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS60803",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.