Marissa Stein

Primary specialty

DentistTaxonomy code 122300000X

License

061829 Issued in NY

Practice address

135 Sullys TRL Ste 1
Pittsford, NY 14534-4564

Phone

(585) 218-0030

NPI assigned

Apr 1, 2020

Last updated

Sep 7, 2021By the provider in NPPES

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

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.

• Crombach & Gilson DDS PC

  dba Gilson & Crilly DDS

  • Dental Clinic/Center
  • Ontario, NY
  • NPI 1538826144
  NPD (past)

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

{
    "created_epoch": "1585699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1639707763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 LAKE POINT DR",
            "city": "WEBSTER",
            "state": "NY",
            "postal_code": "145809585",
            "telephone_number": "585-451-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 SULLYS TRL STE 1",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145344564",
            "telephone_number": "585-218-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Slocum Rd",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "NY",
            "postal_code": "145199142",
            "country_code": "US",
            "telephone_number": "315-524-7433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEIN",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-01",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "061829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alan Speisman, D.D.S.
• Christine M Speranza, LMT
• James Richard Spiecher, DDS
• Taylor Squires, D.D.S.
• Mary Stefanos
• Ramona Lisa Stein, PH.D.
• Scott I Stein, DDS
• Stephen J Vega MD PLLC
• Kelly Stevenson-Postle, BCBA
• Arielle Marie Stopa, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.