Kevin Ma, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

056313 Issued in NY

Practice address

32 Old Turnpike Rd
Nanuet, NY 10954-2446

Phone

(215) 485-8757

NPI assigned

Nov 7, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rockland Periodontics

  • Periodontics
  • New City, NY
  • NPI 1730598301
  NPD (past) Authorized official
• Bergen Dental Group

  • Dentist
  • North Bergen, NJ
  • NPI 1881097293
  NPD

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346630400000",
    "number": "1477830362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 OLD TURNPIKE RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542446",
            "telephone_number": "215-485-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 OLD TURNPIKE RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542446",
            "telephone_number": "215-485-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-07",
        "last_updated": "2012-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037995",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "056313",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS037995",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lulueyez
• Luxottica Retail North America Inc
• Kathleen Mary Lyman, R.N.
• Sheila Ann Lyons
• M Twersky Mental Health Counseling PC
• Frances Maccarello
• Joseph Mack
• Patrice Ann Mackay, R.N.
• Nancy Ann Macrobbie, RN
• Claude Lumbre Magadia

• Periodontics in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2012; 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.