Active NPI
Michael Gershanok, D.D.S.
- Dentist
- Scarsdale, NY
National Provider Identifier
1043472855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 044721A
- Practice address
- 281 Garth Rd
Suite B1J
Scarsdale, NY 10583-4052 - Phone
- (914) 472-4677
- Fax
- (914) 722-0312
- NPI assigned
- Jul 2, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 044721A | NY | Primary |
Addresses
Primary practice location
281 Garth Rd
Suite B1J
Scarsdale, NY 10583-4052
Mailing address
281 Garth Rd
Suite B1J
Scarsdale, NY 10583-4052
Phone (914) 472-4677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221130000861 | NY | Order and Referring Only - Dentist | 5294103925 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044721A | NY | MD | Dentist |
| 044721 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garth Dental, P.C. | 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
- Scarsdale, NY
- NPI 1467503946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1043472855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 GARTH RD",
"address_2": "SUITE B1J",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105834052",
"telephone_number": "914-472-4677",
"fax_number": "914-722-0312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 GARTH RD",
"address_2": "SUITE B1J",
"city": "SCARSDALE",
"state": "NY",
"postal_code": "105834052",
"telephone_number": "914-472-4677",
"fax_number": "914-722-0312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERSHANOK",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-02",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "044721A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scarsdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.