Frederick J. Marra, D.M.D. PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

035737 Issued in NY

Legal business name

FREDERICK J. MARRA, D.M.D. PLLC

Practice address

100 Main St
Cohoes, NY 12047-4404

Phone

(518) 237-0019

Fax

(518) 237-5461

NPI assigned

Jan 23, 2007

Last updated

Jun 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diane M Ward

Title

Office MGR.

Phone

(518) 237-0019

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick J Marra, DMD

  • Dentist
  • Cohoes, NY
  • NPI 1306859574
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1679627897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120474404",
            "telephone_number": "518-237-0019",
            "fax_number": "518-237-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "120474404",
            "telephone_number": "518-237-0019",
            "fax_number": "518-237-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK J. MARRA, D.M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MGR.",
        "authorized_official_telephone_number": "518-237-0019"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi L Finkle, NP
• Brittany Fitzmaurice, NP
• Shannon Breanne Flanigan, MSW
• Lauren Francesconi, MS,RD
• Robert Timothy Frazier Jr., DDS
• Michael Thomas Gallivan, DDS
• Janet Gargiulo, M.D.
• Kathleen Gaudette, RN
• Joyce Elizabeth Gebele
• Cameron Leon Ghyll

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.