Organization Active NPI

Michael Z. Marder DDS and Robert W. Marder DMD, RC.

  • Dentist
  • New York, NY
National Provider Identifier
1356457758
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24104 Issued in NY
Legal business name
MICHAEL Z. MARDER DDS AND ROBERT W. MARDER DMD, RC.
Practice address
119 West 57TH St.
Suite 1507
New York, NY 10019
Phone
(212) 265-8291
Fax
(212) 265-8291
NPI assigned
Aug 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Z Mardor, D.D.S.
Title
President
Phone
(212) 265-8291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24104 NY Primary

Addresses

Primary practice location

119 West 57TH St.
Suite 1507
New York, NY 10019

Mailing address

119 West 57TH St.
Suite 1507
New York, NY 10019
Phone (212) 265-8291

National Provider Directory

National Provider Directory

Locations

119 W 57th St
Ste 1507
New York, NY 10019
Phone (212) 265-8291

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356457758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WEST 57TH ST.",
            "address_2": "SUITE 1507",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-265-8291",
            "fax_number": "212-265-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WEST 57TH ST.",
            "address_2": "SUITE 1507",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10019",
            "telephone_number": "212-265-8291",
            "fax_number": "212-265-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL Z. MARDER DDS AND ROBERT W. MARDER DMD, RC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARDOR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-265-8291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "24104",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.