Marc W Michalowicz, D.D.S., M.SC.

Primary specialty

DentistTaxonomy code 122300000X

License

037936 Issued in NY

Practice address

Columbia University, College of Dental Medicine
630 W 168TH St Suite VC7-226
New York, NY 10032-1003

Phone

(212) 342-0424

Fax

(845) 786-4938

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Practice roles

Interoperability endpoints

• Direct secure messaging: michalm@direct.nyp.org

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.

• Trustees of Columbia University in the City of New York

  • Durable Medical Equipment & Medical Supplies
  • New York, NY
  • NPI 1376756072
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1841297058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 W 168TH ST # 20",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323725",
            "telephone_number": "212-305-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLUMBIA UNIVERSITY, COLLEGE OF DENTAL MEDICINE",
            "address_2": "630 W 168TH ST SUITE VC7-226",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321003",
            "telephone_number": "212-342-0424",
            "fax_number": "845-786-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALOWICZ",
        "first_name": "MARC",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2023-01-18",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "037936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Michalak, MD
• Lindsay Jennifer Michalcik, PHARM.D.
• Joanna I Michalik
• John Joseph Michalisin Jr., M.D.
• Joseph Michalisin, MD
• Alexandra Michalowski, MD
• Alexis Michalski, PA-C
• Jaime J Michalski, PA
• Carline Michaud, PA-C
• Jessica Michaud

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.