Active NPI
Michael Z. Marder DDS and Robert W. Marder DMD, RC.
- Dentist
- New York, NY
National Provider Identifier
1356457758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24104
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.