Active NPI
Gavriel Gulamov
- Dentist
- Richmond Hill, NY
National Provider Identifier
1083305338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 064601
- Practice address
- 8900 Van Wyck Expy
Richmond Hill, NY 11418-2832 - Phone
- (646) 593-9305
- NPI assigned
- May 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 064601 | NY | Primary |
Addresses
Primary practice location
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Mailing address
8900 Van Wyck Expy
Richmond Hill, NY 11418-2832
Phone (646) 593-9305
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 |
|---|---|---|---|
| 064601 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1 Davison Ave Dentistry PLLC | Current | 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.
-
- General Practice Dentistry
- Oceanside, NY
- NPI 1063386555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1083305338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182832",
"telephone_number": "646-593-9305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 VAN WYCK EXPY",
"city": "RICHMOND HILL",
"state": "NY",
"postal_code": "114182832",
"telephone_number": "646-593-9305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULAMOV",
"first_name": "GAVRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-17",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "064601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.