Organization Active NPI

George Ghaly, DDS, PC

  • Customized Equipment (DME)
  • Marlborough, MA
National Provider Identifier
1053516450
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
GEORGE GHALY, DDS, PC
Practice address
201 Boston Post Rd W Ste 405
Marlborough, MA 01752-4667
Phone
(508) 366-1855
Fax
(508) 870-0544
NPI assigned
Jun 18, 2007
Last updated
Sep 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lilian Ghaly
Title
Business Manager
Phone
(508) 366-1855

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

201 Boston Post Rd W Ste 405
Marlborough, MA 01752-4667

Mailing address

201 Boston Post Rd W Ste 405a
Marlborough, MA 01752-4667
Phone (508) 366-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121102000362 MA Part B Supplier - Clinic/Group Practice 3678724473 Receives reassigned benefits from 1 practitioner
Practice locations: Westborough, MA
O20130110000583 MA DME Supplier - Oral Surgery - DentistDME Supplier - Sleep Laboratory/Medicine 3678724473 Practice locations: Marlborough, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
George Ghaly DDS PC201 Boston Post Rd W, Marlborough, MA 01752-4667(508) 366-1855 Orthoses: Custom Fabricated Does not accept assignmentParticipating since Aug 8, 2012

National Provider Directory

National Provider Directory

Locations

201 Boston Post Rd W
Ste 405
Marlborough, MA 01752
Phone (508) 366-1855

116 E Main St
Westborough, MA 01581
Phone (508) 364-7944

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1053516450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BOSTON POST RD W STE 405A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524667",
            "telephone_number": "508-366-1855",
            "fax_number": "508-366-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOSTON POST RD W STE 405",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524667",
            "telephone_number": "508-366-1855",
            "fax_number": "508-870-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE GHALY, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "GHALY",
        "authorized_official_first_name": "LILIAN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "508-366-1855",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.