Individual provider Active NPI

Marc R. Schachter, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Pomona, NY
National Provider Identifier
1902820962
Registry record updated Feb 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
033096 Issued in NY
Practice address
972 Route 45
Suite 102
Pomona, NY 10970-3519
Phone
(845) 354-6900
Fax
(845) 354-6901
NPI assigned
Jul 26, 2006
Last updated
Feb 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 033096 NY Primary

Addresses

Primary practice location

972 Route 45
Suite 102
Pomona, NY 10970-3519

Mailing address

972 Route 45
Suite 102
Pomona, NY 10970-3519
Phone (845) 354-6900

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.
Opted out of Medicare
Yes, effective Jan 8, 2016 through Jan 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
033096NYMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1902820962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "972 ROUTE 45",
            "address_2": "SUITE 102",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703519",
            "telephone_number": "845-354-6900",
            "fax_number": "845-354-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 ROUTE 45",
            "address_2": "SUITE 102",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703519",
            "telephone_number": "845-354-6900",
            "fax_number": "845-354-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHACHTER",
        "first_name": "MARC",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "033096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.