Harvey Norman Maltz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

026737 Issued in NY

Practice address

278 Deer Park Rd
Dix Hills, NY 11746-5208

Phone

(631) 427-0048

Fax

(631) 427-9291

NPI assigned

Jun 24, 2010

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

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1619288651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 DEER PARK RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465208",
            "telephone_number": "631-427-0048",
            "fax_number": "631-427-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 DEER PARK RD",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465208",
            "telephone_number": "631-427-0048",
            "fax_number": "631-427-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALTZ",
        "first_name": "HARVEY",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "026737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Maldonado, LMSW
• Puja Malhotra, LCSW-C
• Paula Mallia Lagreca, PT
• Janet Lynne Mallow, OTR/L
• Karen J. Maltese, PT
• Even Mark Marcos-Gonzalez, LMSW, CASAC-T
• Marielle Feingold Family Chiropractic PLLC
• Marinna Nutrition Inc.
• Avery Lynn Markowitz
• Laura Marotta

• General Practice Dentistry in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.