Farra Marlene Isaacson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

049280 Issued in NY

Practice address

1150 Portion Rd
Suite 15
Holtsville, NY 11742

Phone

(631) 696-3820

Fax

(631) 696-7780

NPI assigned

Feb 3, 2006

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

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.

• Farra Isaacson, DDS PLLC

  • Dentist
  • Holtsville, NY
  • NPI 1891227682
  NPD Authorized official
• Hampton Bays Dental Associates P.C.

  • General Practice Dentistry
  • Hampton Bays, NY
  • NPI 1407151715
  NPD (past)
• Michael J Gulotta DDS PLLC

  • General Practice Dentistry
  • Holtsville, NY
  • NPI 1508830324
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1376515387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PORTION RD.",
            "address_2": "SUITE 15",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "11742",
            "telephone_number": "631-696-3820",
            "fax_number": "631-696-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PORTION RD",
            "address_2": "SUITE 15",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "11742",
            "telephone_number": "631-696-3820",
            "fax_number": "631-696-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACSON",
        "first_name": "FARRA",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "049280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren N Hipp, LPN
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• Holtsville Fire District
• Horizon Orthodontics,PLLC
• Angela A. Hurtle, L.M.T.
• Island Rehabilitation and Nursing Center Inc
• Jessica Arnoux Speech Therapy
• Jmytransportation, LLC
• Lisa Diane Kaplan, PHARMACIST
• Stephanie B Keller, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.