Clarissa Katia Marcovich, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

044655 Issued in NY

Practice address

133 E 58TH St
Suite 804
New York, NY 10022-1236

Phone

(212) 753-2676

Fax

(212) 753-2676

NPI assigned

Jun 15, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346445756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 TOM HUNTER RD",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245301",
            "telephone_number": "201-482-4017",
            "fax_number": "201-461-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST",
            "address_2": "SUITE 804",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221236",
            "telephone_number": "212-753-2676",
            "fax_number": "212-753-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOVICH",
        "first_name": "CLARISSA",
        "middle_name": "KATIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "044655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Andrea Marcos, MSN
• Isabel Marcos
• Luis Rojas Marcos, M.D.
• Ann Carol Marcotte, PH.D.
• Meredythe Margret Marcotte, M.S. OTR/L
• Orly Marcovich, L.P.
• Daniel Marcovici, M.D.
• Eli Marcovici, M.D.
• Raymond E. Marcovici, MD
• Mariana Marcu

• Pediatric Dentistry in New York, NY
• Providers in New York, NY by specialty
• Pediatric Dentistry in New York

• 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.