Individual provider Active NPI

Melanie Rosalia Silvestrini Mavrovich

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1649859026
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27535 Issued in FL
Practice address
6600 W 12TH Ave
Hialeah, FL 33012-6450
Phone
(786) 713-9290
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27535 FL Primary
General Practice Dentistry 1223G0001X 062760 NY

Addresses

Primary practice location

6600 W 12TH Ave
Hialeah, FL 33012-6450

Mailing address

2150 33Rd Rd Apt 4C
Astoria, NY 11106-4250
Phone (407) 861-7265

Other practice location 1

3165 Steinway St
Astoria, NY 11103-3908
Phone (718) 545-5100

Other practice location 2

776 6th Ave
New York, NY 10001-6354
Phone (646) 969-5632

Other practice location 3

230 Central Park S
New York, NY 10019-1409
Phone (212) 586-2890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
062760NYMDSocial Worker
27535FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680825600000",
    "number": "1649859026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 33RD RD APT 4C",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111064250",
            "telephone_number": "407-861-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330126450",
            "telephone_number": "786-713-9290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3165 Steinway St",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111033908",
            "country_code": "US",
            "telephone_number": "718-545-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "776 6th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016354",
            "country_code": "US",
            "telephone_number": "646-969-5632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Central Park S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191409",
            "country_code": "US",
            "telephone_number": "212-586-2890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVESTRINI MAVROVICH",
        "first_name": "MELANIE",
        "middle_name": "ROSALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "27535",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.