Boris Gefon, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

058611 Issued in NY

Practice address

1918 Avenue U
Brooklyn, NY 11229-3906

Phone

(718) 743-5400

NPI assigned

Apr 19, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sheepshead Bay Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Brooklyn, NY
  • NPI 1336256338
  NPD (past)
• Sheepshead Bay Oral Surgery, PLLC

  • Specialist
  • Brooklyn, NY
  • NPI 1629096276
  NPD (past)

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1033476601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293906",
            "telephone_number": "718-743-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293906",
            "telephone_number": "718-743-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFON",
        "first_name": "BORIS",
        "credential": "DDS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-19",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "058611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauliny Gedeon, RN
• Anthony Gedrich, LMT
• Bridget Gee, LPN
• Zuri Maria Gee
• Rose Geffrard, LPN
• Stanislav Gefter, CASE ASSOCIATE
• Renato Gega, MD
• Cecilia Gehred, SLP
• Erika Gehrie, MD
• Arianne Star Gehring

• Oral and Maxillofacial Surgery (Dentist) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.