Individual provider Active NPI

Gary A. Iuliano, DDS

  • General Practice Dentistry
  • Clifton Park, NY
National Provider Identifier
1063551182
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048422 Issued in NY
Practice address
531 Moe Rd
Clifton Park, NY 12065-3807
Phone
(518) 371-8206
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 048422 NY Primary

Addresses

Primary practice location

531 Moe Rd
Clifton Park, NY 12065-3807

Mailing address

217 Scotch Bush Rd
Burnt Hills, NY 12027-9786
Phone (518) 399-5482

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001337 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446552624

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048422NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063551182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 SCOTCH BUSH RD",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279786",
            "telephone_number": "518-399-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MOE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653807",
            "telephone_number": "518-371-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IULIANO",
        "first_name": "GARY",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.