Marina Dental PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

0474431 Issued in NY

Legal business name

MARINA DENTAL PC

Practice address

3768 Broadway
New York, NY 10032-1548

Phone

(212) 234-2244

Fax

(212) 281-3789

NPI assigned

Nov 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Marina Podlubny, DDSNPI 1023280690

Title

President

Phone

(212) 234-2244

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marina Podlubny, DDS

  • General Practice Dentistry
  • New York, NY
  • NPI 1023280690
  NPD (past) Authorized official

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982777959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3768 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321548",
            "telephone_number": "212-234-2244",
            "fax_number": "212-281-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100321548",
            "telephone_number": "212-234-2244",
            "fax_number": "212-281-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PODLUBNY",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-234-2244",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "0474431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Scott Marin
• Reina Marin, PH.D.
• Robert Louis Marin, OT
• Roberta Marin, LMHC
• Samantha Wyatt Marin, LMSW
• Marina Gafanovich MD PC
• Michael Joseph Marinacci
• Jason Gerard Marinaccio, PHARMD
• Pia C. Marinangeli, PHD, LCSW
• Alessandra Cecile Marinaro, MA, EDM, MCH-LP

• Dental Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.