Individual provider Active NPI

Candice Benay Zemnick, DMD, MPH, MS

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1750565289
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
050171 Issued in NY
Practice address
630 W 168TH St
PH East, 7TH Floor, RM 121a
New York, NY 10032-3725
Phone
(212) 305-0698
Fax
(212) 305-8493
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 050171 NY Primary
Prosthodontics 1223P0700X 050171 NY

Addresses

Primary practice location

630 W 168TH St
PH East, 7TH Floor, RM 121a
New York, NY 10032-3725

Mailing address

52 Yonkers Ter
Apt. 3F
Yonkers, NY 10704-3334
Phone (914) 843-4198

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120601000298 NY Practitioner - Oral SurgeryPractitioner - Plastic and Reconstructive Surgery 5890959886 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
050171NYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Single Specialty CurrentSince Jan 1, 2018 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jan 1, 2018 Accepting new patients

Locations

630 W 168th St
#7226
New York, NY 10032
Phone (212) 305-8516

630 W 168th St
Rm 250
New York, NY 10032
Phone (212) 305-7626

630 W 168th St
Ph E
New York, NY 10032
Phone (212) 305-0698

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

622 W 168th St
Fl 3
New York, NY 10032
Phone (953) 521-2305

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 2

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": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1750565289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 YONKERS TER",
            "address_2": "APT. 3F",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043334",
            "telephone_number": "914-843-4198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST",
            "address_2": "PH EAST, 7TH FLOOR, RM 121A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-0698",
            "fax_number": "212-305-8493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMNICK",
        "first_name": "CANDICE",
        "middle_name": "BENAY",
        "name_prefix": "Dr.",
        "credential": "DMD, MPH, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "050171",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "050171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.