MARINA DENTAL PC (NPI# 1982777959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982777959 |
| Entity Type | Organization |
| Organization Name | MARINA DENTAL PC |
| Practice Address |
3768 Broadway New York NY 10032-1548 |
| Practice Telephone | 2122342244 |
| Practice Fax Number | 2122813789 |
| Mailing Telephone | 2122342244 |
| Mailing Fax Number | 2122813789 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARINA PODLUBNY (PRESIDENT) |
| Authorized Official Telephone | 2122342244 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
0474431 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01804833 | 05 |
| Street Address |
3768 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-1548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023280690 | Marina Podlubny | Dentist | 3768 Broadway, New York, NY 10032-1548 | 2008-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366077844 | New York Dental Care, Pllc | Clinic/Center | 124 E 40th St Rm 302, New York, NY 10016-1723 | 2020-03-05 |
| 1992330641 | Modern Dental of Manhattan PC | Clinic/Center | 425 Madison Ave Rm 500, New York, NY 10017-1170 | 2020-03-03 |
| 1801429840 | Les Dental Group PC | Clinic/Center | 62 Rivington St Ste 1a-d, New York, NY 10002-2140 | 2020-02-18 |
| 1649801432 | Chavez Dds PC | Clinic/Center | 1037 2nd Ave, New York, NY 10022-4024 | 2020-01-30 |
| 1215574868 | Hudson Street Dental Associates, LLP | Clinic/Center | 315 Hudson St Lbby 1, New York, NY 10013-1009 | 2019-12-03 |
| 1043854565 | Nadia Rodriguez Dmd, Pllc | Clinic/Center | 140 W 58th St Ste 6, New York, NY 10019-2120 | 2019-10-29 |
| 1720621147 | Robert Cleary Dds PC | Clinic/Center | 25 W 45th St Ste 1407, New York, NY 10036-4902 | 2019-10-18 |
| 1801440706 | Smiling Buddha Dental Pllc | Clinic/Center | 30 Central Park S Rm 13c, New York, NY 10019-1646 | 2019-07-29 |
| 1699246777 | Smile Design Dental Studio Pllc | Clinic/Center | 320 E 53rd St Ste 1a, New York, NY 10022-5298 | 2018-12-16 |
| 1477037539 | All Smiles Dental On 12th Corp | Clinic/Center | 59 W 12th St Apt 1c, New York, NY 10011-8520 | 2018-09-24 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.