Individual provider Active NPI

Marianna Dogot, M.D.

  • Psychiatry Physician
  • Glen Cove, NY
National Provider Identifier
1851476170
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
207136 Issued in NY
Practice address
15 Glen St Ste 304
Glen Cove, NY 11542-2786
Phone
(516) 759-3742
Fax
(516) 484-6649
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 207136 NY Primary

Addresses

Primary practice location

15 Glen St Ste 304
Glen Cove, NY 11542-2786

Mailing address

6A Osborne LN
Greenvale, NY 11548-1141
Phone (516) 484-6411

Other identifiers 1

IdentifierTypeStateIssuer
01883343MedicaidNY

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000499 NY Practitioner - Psychiatry 0749267193 Reassigns benefits to 1 organization
Practice locations: Glen Cove, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Glen St
Suite 304
Glen Cove, NY 11542-2786
Phone (516) 759-3742

6 A Osborne LN
Greenvale, NY 11548-1141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
207136NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Nassau Guidance & Counseling Services, Inc. Single Specialty CurrentSince Oct 17, 2017 Accepting new patients
Advanced Psychiatric PC Single Specialty Past Accepting new patients
Catholic Charities Neigborhood Services Single Specialty Past Accepting new patients
Medical Care of L.I., P.C, Single Specialty PastSince Apr 1, 2010 Accepting new patients

Locations

950 S Oyster Bay Rd
Hicksville, NY 11801

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1851476170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6A OSBORNE LN",
            "city": "GREENVALE",
            "state": "NY",
            "postal_code": "115481141",
            "telephone_number": "516-484-6411",
            "fax_number": "516-484-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GLEN ST STE 304",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422786",
            "telephone_number": "516-759-3742",
            "fax_number": "516-484-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGOT",
        "first_name": "MARIANNA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "207136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01883343",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

Verify at the official NPI Registry.