Zaharoula Maris, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049179-1 Issued in NY

Practice address

140 Hammond St
Port Jervis, NY 12771-2607

Phone

(845) 856-8813

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1962624569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2570 ROUTE 9W STE 10",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181370",
            "telephone_number": "845-220-3100",
            "fax_number": "845-534-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HAMMOND ST",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127712607",
            "telephone_number": "845-856-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIS",
        "first_name": "ZAHAROULA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049179-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2382896",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lyko
• Dipti U Maniar, DDS
• Nicole Manzare
• Kenneth Manzo, R.PH.
• Marian Susan Sanborn LCSW PLLC
• Kellie A Markle
• Cynthia Marsilio, A.N.P.
• Barbara Marie Marszalek, FPMHNP
• Emmanuel M Martakis, MD
• Tonya Martinez

• General Practice Dentistry in Port Jervis, NY
• Providers in Port Jervis, 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 Jun 6, 2019; 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.