42nd Street Dental Associates, LLP
NPI 1750489563ActiveOrganization· Dentist, Periodontics· New York, NY
Dentist, Periodontics in New York, New York, registered in NPPES in September 2006. The authorized official on file is Mark S. Nadolne, D.M.D., Partner.
Overview
| NPI | 1750489563 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Periodontics Primary | 1223P0300X | 044327 | NY |
| Dentist | 122300000X | 050453 | NY |
| Dentist | 122300000X | 047883-1 | NY |
| Dentist | 122300000X | 052345-1 | NY |
| Dentist | 122300000X | 051796-1 | NY |
| Dentist, Endodontics | 1223E0200X | 048686 | NY |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 040690 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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