SHEFALI MARCHAWALA D.D.S.
NPI 1316144116
Dentist - General Practice in Hicksville, NY

Q: What is Shefali Marchawala's NPI number?

The NPI number for Shefali Marchawala is 1316144116. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Q: What is Shefali Marchawala's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since June 27, 2007PECOS Enrolled

35 BROADWAY, HICKSVILLE, NY 11801(516) 822-8700(516) 822-2396 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shefali Marchawala D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEFALI MARCHAWALA D.D.S. (NPI 1316144116) is an individual general practice provider in Hicksville, New York, licensed in New York (047506-1) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316144116

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSHEFALI MARCHAWALACredential: D.D.S.

Location Address35 BROADWAYHicksville, NY 11801-4266

Mailing Address100 Washington St, Apt Lb2Hempstead, NY 11550-3116

Phone(516) 822-8700

Fax(516) 822-2396

Sole ProprietorYes

Enumeration DateJune 27, 2007

Last NPPES UpdateMay 23, 2016

✔ NPI 1316144116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NY · 047506-1

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

35 BROADWAY, Hicksville, NY 11801

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Other Identifiers 1

Medicaid01869305NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shefali Marchawala D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICAN DENTAL OFFICES, P.L.L.C.

Dentist (General Practice)

35 BROADWAY
HICKSVILLE, NY 11801

Nassau County (516) 822-8700

DR. PHILIP LON HIRSCHHORN D.D.S.

Dentist (General Practice)

35 BROADWAY
HICKSVILLE, NY 11801

Nassau County (516) 822-8700

J.V. LANE, P.C.

Dentist (General Practice)

35 BROADWAY
HICKSVILLE, NY 11801

Nassau County (516) 822-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shefali Marchawala's NPI number?

The NPI number for Shefali Marchawala is 1316144116. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Shefali Marchawala located?

Shefali Marchawala practices at 35 Broadway, Hicksville, NY 11801. The listed phone number is (516) 822-8700.

What is Shefali Marchawala's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Shefali Marchawala enrolled in Medicare?

Yes. Shefali Marchawala is registered in the Medicare PECOS enrollment system.

What insurance does Shefali Marchawala accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Shefali Marchawala as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shefali Marchawala was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.