Active NPI
Mark Hochman, D.D.S.
- General Practice Dentistry
- Hicksville, NY
National Provider Identifier
1710109426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 03102693
- Practice address
- 400 S Oyster Bay Rd
Mid-Island Dental Associates
Hicksville, NY 11801-3500 - Phone
- (516) 933-8600
- Fax
- (516) 942-3585
- NPI assigned
- May 3, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 03102693 | NY | Primary |
Addresses
Primary practice location
400 S Oyster Bay Rd
Mid-Island Dental Associates
Hicksville, NY 11801-3500
Mailing address
400 S Oyster Bay Rd
Mid-Island Dental Associates
Hicksville, NY 11801-3500
Phone (516) 933-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 22, 2016 through Feb 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03102693 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710109426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 S OYSTER BAY RD",
"address_2": "MID-ISLAND DENTAL ASSOCIATES",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013500",
"telephone_number": "516-933-8600",
"fax_number": "516-942-3585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 S OYSTER BAY RD",
"address_2": "MID-ISLAND DENTAL ASSOCIATES",
"city": "HICKSVILLE",
"state": "NY",
"postal_code": "118013500",
"telephone_number": "516-933-8600",
"fax_number": "516-942-3585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOCHMAN",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "03102693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hicksville, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.