Organization Active NPI

Marshall S Skopp DMD PC

  • Dentist
  • Staten Island, NY
National Provider Identifier
1831567528
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
O45275 Issued in NY
Legal business name
MARSHALL S SKOPP DMD PC
Practice address
2040 Forest Ave
Staten Island, NY 10303-1755
Phone
(718) 982-5230
Fax
(718) 982-5231
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Mrs. Teresa Lomangino
Title
Office Manager
Phone
(718) 982-5230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X O45275 NY Primary

Addresses

Primary practice location

2040 Forest Ave
Staten Island, NY 10303-1755

Mailing address

2040 Forest Ave
Staten Island, NY 10303-1755
Phone (718) 982-5230

Other names 1

  • MARSHALL SKOPP DMD Other name

National Provider Directory

National Provider Directory

Locations

2040 Forest Ave
Staten Island, NY 10303
Phone (718) 761-2060

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1831567528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031755",
            "telephone_number": "718-982-5230",
            "fax_number": "718-982-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 FOREST AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103031755",
            "telephone_number": "718-982-5230",
            "fax_number": "718-982-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL S SKOPP DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "LOMANGINO",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-982-5230",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "O45275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARSHALL SKOPP DMD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.