Individual provider Active NPI

Tomer Ike Madar, DDS

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1861953010
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
061938 Issued in NY
Practice address
1333 51St St Apt 6E
Brooklyn, NY 11219-3573
Phone
(917) 916-3491
NPI assigned
Mar 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 061938 NY Primary

Addresses

Primary practice location

1333 51St St Apt 6E
Brooklyn, NY 11219-3573

Mailing address

1333 51St St Apt 6E
Brooklyn, NY 11219-3573
Phone (917) 916-3491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8340 Woodhaven Blvd
Glendale, NY 11385-7824

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
061938NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tomer Madar DDS PLLC Pediatric Dentistry Current Accepting new patients

Organizations & group practices 1

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1861953010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 51ST ST APT 6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193573",
            "telephone_number": "917-916-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 51ST ST APT 6E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193573",
            "telephone_number": "917-916-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAR",
        "first_name": "TOMER",
        "middle_name": "IKE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "061938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.