Mark L Roschinsky, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035-212 Issued in NY

Practice address

322 Ruhle Rd S
Ballston Lake, NY 12019-1030

Phone

(518) 899-2252

Fax

(518) 899-5297

NPI assigned

Jul 24, 2006

Last updated

Nov 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1992727440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 RUHLE RD S",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191030",
            "telephone_number": "518-899-2252",
            "fax_number": "518-899-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 RUHLE RD S",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120191030",
            "telephone_number": "518-899-2252",
            "fax_number": "518-899-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSCHINSKY",
        "first_name": "MARK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035-212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00676471",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Ballston Lake, NY
• Providers in Ballston Lake, 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 Nov 5, 2007; 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.