Marc Adelberg DDS, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

MARC ADELBERG DDS, PLLC

Practice address

562 E Jericho Tpke
Huntington Station, NY 11746-7314

Phone

(631) 760-7606

NPI assigned

May 29, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Marc Bennet, DMD

Title

Partner

Phone

(631) 760-7606

Specialties & licenses 3

Addresses

Other names 1

• AMPD Huntington Doing business as

Tax ID family

Ampd Huntington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Huntington Smiles Pediatric Dentistry

  • Pediatric Dentistry
  • Huntington Station, NY
  • NPI 1295514198
  NPD tax ID

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1730747486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 E JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467314",
            "telephone_number": "631-760-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 E JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467314",
            "telephone_number": "631-760-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC ADELBERG DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "BENNET",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-760-7606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMPD Huntington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neziah Maloney
• Carol Mangino, C.O.
• Michael Mangino, C.P.O., C.PED.
• Gabriella Maria Manwell
• Keiry Giselle Manzanares
• Maureen Kelly Marcus, RN
• Tina Marie Marengo
• Marleen Marino, O.D.
• Jimmy Marseille, NP
• Jessica Marti, CD, CPPD

• Pediatric Dentistry in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; 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.