Active NPI
Patrick M.T. Ngafook, D.D.S.
- Endodontics
- New York, NY
National Provider Identifier
1043466063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 054055
- Practice address
- 24 W 57TH St
Suite #507
New York, NY 10019-3918 - Phone
- (212) 421-3418
- NPI assigned
- Aug 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 054055 | NY | |
| Endodontics | 1223E0200X | 054055 | NY | Primary |
Addresses
Primary practice location
24 W 57TH St
Suite #507
New York, NY 10019-3918
Mailing address
147 Spruce St
West Hempstead, NY 11552-2020
Phone (516) 384-8855
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054055 | NY | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Gause DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- New York, NY
- NPI 1487998878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1043466063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 SPRUCE ST",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115522020",
"telephone_number": "516-384-8855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 W 57TH ST",
"address_2": "SUITE #507",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100193918",
"telephone_number": "212-421-3418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGAFOOK",
"first_name": "PATRICK",
"middle_name": "M.T.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-11",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "054055",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "054055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.