Active NPI
Mark Schlesinger, DDS
- Periodontics
- New York, NY
National Provider Identifier
1669479408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 050064
- Practice address
- 30 E 60TH St Ste 703
New York, NY 10022-1076 - Phone
- (212) 213-9333
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 050064 | NY | Primary |
Addresses
Primary practice location
30 E 60TH St Ste 703
New York, NY 10022-1076
Mailing address
1995 Lake End Rd
Merrick, NY 11566
Phone (917) 292-8623
Other practice location 1
2780 Merrick Rd
Bellmore, NY 11710-5720
Phone (516) 308-7646
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151223001570 | NY | Order and Referring Only - Oral Surgery | 6901107549 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 050064 | NY | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greg R. Diamond D.D.S., P.C. | Periodontics | Past | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1669479408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1995 LAKE END RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "11566",
"telephone_number": "917-292-8623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E 60TH ST STE 703",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100221076",
"telephone_number": "212-213-9333"
}
],
"practiceLocations": [
{
"address_1": "2780 Merrick Rd",
"address_purpose": "LOCATION",
"city": "Bellmore",
"state": "NY",
"postal_code": "117105720",
"country_code": "US",
"telephone_number": "516-308-7646",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHLESINGER",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "050064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.