Active NPI
Shay Markovitch Dentistry, PLLC
- Periodontics
- Rochester, NY
National Provider Identifier
1982385100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- SHAY MARKOVITCH DENTISTRY, PLLC
- Practice address
- 1815 S Clinton Ave Ste 510
Rochester, NY 14618-5721 - Phone
- (585) 632-4819
- NPI assigned
- Jul 31, 2023
- Organization subpart
- Yes
- Parent organization
- SHAY MARKOVITCH DENTISTRY, PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Worthman
- Title
- Regional Manager
- Phone
- (845) 842-9221
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Periodontics | 1223P0300X | Primary | ||
| Prosthodontics | 1223P0700X | |||
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | |||
| Dental Clinic/Center | 261QD0000X |
Addresses
Primary practice location
1815 S Clinton Ave Ste 510
Rochester, NY 14618-5721
Mailing address
1815 S Clinton Ave Ste 510
Rochester, NY 14618-5721
Other names 1
- Dental Implants and Periodontal Health of Rochester
National Provider Directory
National Provider Directory- Tax ID family
- Shay Markovitch Dentistry PLLC
- Part of
- Shay Markovitch Dentistry PLLC
Other organizations with this tax ID 12
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Yonkers, NY
- NPI 1265776074
-
- Oral and Maxillofacial Surgery (Dentist)
- Plattsburgh, NY
- NPI 1902743651
-
- General Practice Dentistry
- Wappingers Fall, NY
- NPI 1063194074
-
- General Practice Dentistry
- Hudson, NY
- NPI 1073294294
-
- General Practice Dentistry
- Hastings on Hudson, NY
- NPI 1194406306
-
- General Practice Dentistry
- Webster, NY
- NPI 1518648732
-
- General Practice Dentistry
- Lakeville, NY
- NPI 1609627124
-
- General Practice Dentistry
- Geneseo, NY
- NPI 1689425100
-
- General Practice Dentistry
- Wayland, NY
- NPI 1699526111
-
- General Practice Dentistry
- Pelham, NY
- NPI 1801577010
-
- General Practice Dentistry
- Albion, NY
- NPI 1871274092
-
- General Practice Dentistry
- White Plains, NY
- NPI 1962183186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1982385100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 S CLINTON AVE STE 510",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 S CLINTON AVE STE 510",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146185721",
"telephone_number": "585-632-4819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAY MARKOVITCH DENTISTRY, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SHAY MARKOVITCH DENTISTRY, PLLC",
"enumeration_date": "2023-07-31",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "WORTHMAN",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "REGIONAL MANAGER",
"authorized_official_telephone_number": "845-842-9221"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"primary": true
},
{
"code": "1223P0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Prosthodontics",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Implants and Periodontal Health of Rochester",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.