Michael Griffith Donovan, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

057622 Issued in NY

Practice address

370 Lexington Ave FL 26
New York, NY 10017-6573

Phone

(212) 986-4830

Fax

(212) 986-4927

NPI assigned

Feb 19, 2015

Sex

Male

Sole proprietor

Yes

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.

• Prosthodontic Associates PLLC

  • Prosthodontics
  • New York, NY
  • NPI 1457144727
  NPD
• Prosthodontic Associates of Ny, PC

  • Prosthodontics
  • New York, NY
  • NPI 1093848624
  NPD (past)

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

{
    "created_epoch": "1424304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1457743023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 LEXINGTON AVE FL 26",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176573",
            "telephone_number": "212-986-4830",
            "fax_number": "212-986-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 LEXINGTON AVE FL 26",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100176573",
            "telephone_number": "212-986-4830",
            "fax_number": "212-986-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "MICHAEL",
        "middle_name": "GRIFFITH",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-19",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "057622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Frances Donovan, MD
• Kerryann Kathryn Donovan, NP
• Kirsten Donovan
• Laura Donovan, M.D.
• Melissa Donovan, LMSW
• Samantha Donovan, MD
• Stephen Joseph Donovan, M.D.
• Susan Donovan, DOULA
• Juliet Dontoh, DNP, FNP
• Maria Donzelli, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.