NPIMap

Individual provider Active NPI

Jaish John Markos, DMD

  • Pediatric Dentistry
  • Peekskill, NY
National Provider Identifier
1932366176
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
053850 Issued in NY
Practice address
50 Dayton LN
103
Peekskill, NY 10566-2859
Phone
(914) 402-6980
NPI assigned
May 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS036252 PA
Pediatric Dentistry 1223P0221X DS036252 PA
Pediatric Dentistry 1223P0221X 053850 NY Primary
Dentist 122300000X 053850 NY

Addresses

Primary practice location

50 Dayton LN
103
Peekskill, NY 10566-2859

Mailing address

50 Dayton LN
103
Peekskill, NY 10566-2859
Phone (914) 402-6980

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS036252PAMDPediatric Dentist
053850NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Care Pediatric Dentistry PC Pediatric Dentistry Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jaish.markos@direct.hvhc.org

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": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1932366176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DAYTON LN",
            "address_2": "103",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662859",
            "telephone_number": "914-402-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DAYTON LN",
            "address_2": "103",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105662859",
            "telephone_number": "914-402-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOS",
        "first_name": "JAISH",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-16",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS036252",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS036252",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "053850",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "053850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peekskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.