Marina U. Shimuny, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0516461 Issued in NY

Practice address

5420 31St Ave
Woodside, NY 11377-1610

Phone

(718) 433-9126

Fax

(718) 433-9106

NPI assigned

Mar 1, 2007

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 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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Golden Dental Care P.C

  • General Practice Dentistry
  • Woodside, NY
  • NPI 1487893780
  NPD Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1255469466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 31ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771610",
            "telephone_number": "718-433-9126",
            "fax_number": "718-433-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 31ST AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113771610",
            "telephone_number": "718-433-9126",
            "fax_number": "718-433-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMUNY",
        "first_name": "MARINA",
        "middle_name": "U.",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "0516461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02620597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Shelton
• Iren Shemelyak, LC. AC.
• Allyson Sherman, MA
• Phurba Sherpa
• Burkho Bella Shimunova, REGISTERED NURSE
• Wonbin Shin, PHARMD
• Diana Shum
• Melissa Sierra-Perez, RN
• Lewis Silverman, MD
• Robrich Sarthou Sim, DOCTORATE

• Dentist in Woodside, NY
• Providers in Woodside, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.