Individual provider Active NPI

Malka Carmazi, D D S

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1558343608
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
039646 Issued in NY
Practice address
2035 Ralph Ave
St B4
Brooklyn, NY 11234-5300
Phone
(718) 763-4522
Fax
(718) 968-1182
NPI assigned
Nov 15, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 039646 NY Primary

Addresses

Primary practice location

2035 Ralph Ave
St B4
Brooklyn, NY 11234-5300

Mailing address

19 Martin CT
Great Neck, NY 11024-1619
Phone (516) 773-4585

Other names 1

  • Mrs. Malka Carmazi Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 22, 2016 through Sep 22, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
039646NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
G.S. Dental Associates PC General Practice PastSince Nov 3, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558343608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MARTIN CT",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110241619",
            "telephone_number": "516-773-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 RALPH AVE",
            "address_2": "ST B4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345300",
            "telephone_number": "718-763-4522",
            "fax_number": "718-968-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMAZI",
        "first_name": "MALKA",
        "name_prefix": "Mrs.",
        "credential": "D D S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "039646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALKA",
            "last_name": "CARMAZI",
            "prefix": "MRS.",
            "credential": "D D S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.