Catherine Marino Carrozzo, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

042000 Issued in NY

Practice address

14 Maple St
Port Washington, NY 11050-2946

Phone

(516) 767-8646

Fax

(516) 734-0000

NPI assigned

Oct 16, 2008

Sex

Female

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

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1942452305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502946",
            "telephone_number": "516-767-8646",
            "fax_number": "516-734-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAPLE ST",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110502946",
            "telephone_number": "516-767-8646",
            "fax_number": "516-734-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINO CARROZZO",
        "first_name": "CATHERINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bella Manakhimova
• Jamie Lynn Mandel, M.A.
• Adrienne Heather Mandelberger, M.D.
• Marco K Michelson, MD, PC
• Lisa Marini, DDS
• Yelena Marks, MS, CCC-SLP
• Gloria Marmor, PH.D.
• Lisa Martin
• Lorraine Marxer, PH.D.
• Danielle Marzano, REGISTERED DIETICIAN

• General Practice Dentistry in Port Washington, NY
• Providers in Port Washington, 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 Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.