Martin Cormac Macdermott, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

052448 Issued in NY

Practice address

119 Montague St
Brooklyn, NY 11201-3464

Phone

(718) 855-2855

Fax

(866) 221-4121

NPI assigned

Oct 24, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1891984027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 FURMAN ST",
            "address_2": "#940",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11201",
            "telephone_number": "917-562-9964",
            "fax_number": "866-221-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MONTAGUE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013464",
            "telephone_number": "718-855-2855",
            "fax_number": "866-221-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDERMOTT",
        "first_name": "MARTIN",
        "middle_name": "CORMAC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-24",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "052448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne-Marie Macchio, FNP-BC
• Fawn Anestra Maccloud-Rosemond, RN
• Cailean Maccoll, MD
• Evans Nii Ayitey Maccready, MBCHB
• Devon Christy Macdermott, PHD
• Alice Jean Macdonald, MHC-LP
• Joanne Agnes Macdonald, RN
• Violet Macdonald, LMSW
• Judith Macdowell
• Douglas Mace

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.