Shefali Marchawala, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

047506-1 Issued in NY

Practice address

35 Broadway
Hicksville, NY 11801-4266

Phone

(516) 822-8700

Fax

(516) 822-2396

NPI assigned

Jun 27, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1316144116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASHINGTON ST",
            "address_2": "APT LB2",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014266",
            "telephone_number": "516-822-8700",
            "fax_number": "516-822-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCHAWALA",
        "first_name": "SHEFALI",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047506-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01869305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manjeet Kaur
• Isabella Mantilla
• Juan Manzano
• Tresha D Maragh, NP
• Rona Marc, RPA-C
• Amanda Marchese
• Marcia P Chichester, LCSW, P.L.L.C.
• Helene Marcovici, PA
• Lillian Estelle Margas, RN
• Mariel Eliza, M.D., PLLC

• General Practice Dentistry in Hicksville, NY
• Providers in Hicksville, 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 May 23, 2016; 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.