Marc Malatesta, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

50 053606 Issued in NY

Practice address

3770 Mount Read Blvd
Rochester, NY 14616-3436

Phone

(585) 865-7030

NPI assigned

Sep 27, 2006

Last updated

Oct 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cornerstone Dental of Henrietta

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1235637141
  NPD (past) Authorized official
• Cornerstone Dental, LLP

  • General Practice Dentistry
  • Rochester, NY
  • NPI 1366533556
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1770674814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 OLD ENGLISH DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146161950",
            "telephone_number": "716-560-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 MOUNT READ BLVD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146163436",
            "telephone_number": "585-865-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALATESTA",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053606",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036926",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50 053606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen M Malahosky, RPH
• Mark Joseph Malahosky, R. PH.
• Christopher Malanga, M.D.
• Bernadette Malaret, NP
• Danielle Malatesta, NP
• Mary Malay, CRNA
• Lisa Michele Malbouf, FNP-C
• Jade Malcho, MD
• Kenya Tamu Malcolm, PHD
• Annette Maldonado

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.