Individual provider Active NPI

Robert Joseph Marcovici, D.D.S.

  • Dentist
  • Commack, NY
National Provider Identifier
1992934194
Registry record updated Jul 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
022859 Issued in NY
Practice address
353 Veterans Hwy
Commack, NY 11725-4233
Phone
(631) 543-5555
NPI assigned
Jul 8, 2009
Last updated
Jul 19, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 022859 NY Primary

Addresses

Primary practice location

353 Veterans Hwy
Commack, NY 11725-4233

Mailing address

353 Veterans Hwy
Commack, NY 11725-4233
Phone (631) 543-5555

Other identifiers 1

IdentifierTypeStateIssuer
022859OtherNYN.Y.STATE DENTAL LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247961600000",
    "number": "1992934194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 VETERANS HWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254233",
            "telephone_number": "631-543-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 VETERANS HWY",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117254233",
            "telephone_number": "631-543-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCOVICI",
        "first_name": "ROBERT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "022859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N.Y.STATE DENTAL LICENCE",
            "identifier": "022859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2009; 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.