Active NPI
Martin Pokorny, DDS
- General Practice Dentistry
- Elmont, NY
National Provider Identifier
1659390052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 027695
- Practice address
- 1 Westgate
Elmont, NY 11003-2428 - Phone
- (516) 488-2570
- Fax
- (516) 352-5831
- NPI assigned
- Jul 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 027695 | NY | Primary |
Addresses
Primary practice location
1 Westgate
Elmont, NY 11003-2428
Mailing address
1 Westgate
Elmont, NY 11003-2428
Phone (516) 488-2570
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
| License | State | Type | Specialty |
|---|---|---|---|
| 027695 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659390052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 WESTGATE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032428",
"telephone_number": "516-488-2570",
"fax_number": "516-352-5831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 WESTGATE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032428",
"telephone_number": "516-488-2570",
"fax_number": "516-352-5831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POKORNY",
"first_name": "MARTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "027695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.