Organization Active NPI

Dr.Shakuntala J Markale

  • Dentist
  • Bronx, NY
National Provider Identifier
1831361674
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
37311 Issued in NY
Legal business name
DR.SHAKUNTALA J MARKALE
Practice address
1171 Grand Concourse
Bronx, NY 10452-8543
Phone
(718) 588-7878
Fax
(718) 588-2232
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Jagdish N Markale, DDSNPI 1639144223
Title
Dentist
Phone
71858878781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 37311 NY Primary

Addresses

Primary practice location

1171 Grand Concourse
Bronx, NY 10452-8543

Mailing address

1171 Grand Concourse
Bronx, NY 10452-8543
Phone (718) 588-7878

Other identifiers 1

IdentifierTypeStateIssuer
00743471MedicaidNY

National Provider Directory

National Provider Directory

Locations

1171 Grand Concourse
Bronx, NY 10452
Phone (718) 588-7878

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1831361674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528543",
            "telephone_number": "718-588-7878",
            "fax_number": "718-588-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104528543",
            "telephone_number": "718-588-7878",
            "fax_number": "718-588-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.SHAKUNTALA J MARKALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "MARKALE",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "71858878781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "37311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00743471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.