Marmor Ny Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARMOR NY DENTAL PC

Practice address

306 Grant Ave
Auburn, NY 13021-1404

Phone

(914) 835-6004

Fax

(914) 560-2216

NPI assigned

Dec 18, 2023

Last updated

Dec 18, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rachel Marmor, DDSNPI 1245478189

Title

Ceo

Phone

(914) 835-6004

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Marmor

  • Dentist
  • New York, NY
  • NPI 1245478189
  NPD Authorized official

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1891563961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 PROGRESS DR STE 123",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023603",
            "telephone_number": "914-835-6004",
            "fax_number": "914-560-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 GRANT AVE",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211404",
            "telephone_number": "914-835-6004",
            "fax_number": "914-560-2216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARMOR NY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "MARMOR",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "914-835-6004",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malys Physical Therapy
• Mark C Malys, PT CHT
• Mark J Lawn Optician
• David Marker, CRNA
• Timothy P Marks, LPN
• Amy Sue Marquart
• Marriage & Family Therapy Associates (Richard N. Mack)
• Marriage & Family Therapy Associates
• Mark G Martens, MD
• Michael Edward Martin, MS, LCAT, ATR-BC

• General Practice Dentistry in Auburn, NY
• Providers in Auburn, NY by specialty
• General Practice Dentistry in New York

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