Active NPI
Daniel J Marcus, DDS
- General Practice Dentistry
- Clifton Park, NY
National Provider Identifier
1750424354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 034182
- Practice address
- 1532 Route 9
Clifton Park, NY 12065-5605 - Phone
- (518) 371-8481
- Fax
- (518) 371-6326
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 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 | 034182 | NY | Primary |
Addresses
Primary practice location
1532 Route 9
Clifton Park, NY 12065-5605
Mailing address
100 Saratoga Village Blvd
Suite 36a
Ballston Spa, NY 12020-3737
Phone (518) 899-9783
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 |
|---|---|---|---|
| 034182 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Area Hudson Valley New York Dental PC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba 1st Advantage Dental - Clifton Park
- General Practice Dentistry
- Halfmoon, NY
- NPI 1710020672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750424354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SARATOGA VILLAGE BLVD",
"address_2": "SUITE 36A",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "120203737",
"telephone_number": "518-899-9783",
"fax_number": "518-899-4007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1532 ROUTE 9",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120655605",
"telephone_number": "518-371-8481",
"fax_number": "518-371-6326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCUS",
"first_name": "DANIEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "034182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, 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.