Geoffrey Stuart Halberstadt

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

032513 Issued in NY

Practice address

20 Continental Avenue
Suite 1 G
Forest Hills, NY 11375-5266

Phone

(718) 261-1400

Fax

(718) 261-1401

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1083719223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 VOORHIS AVE",
            "city": "ROCKVILLE",
            "state": "NY",
            "postal_code": "115702746",
            "telephone_number": "516-729-7736",
            "fax_number": "516-678-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CONTINENTAL AVENUE",
            "address_2": "SUITE 1 G",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755266",
            "telephone_number": "718-261-1400",
            "fax_number": "718-261-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3754 White Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104675731",
            "country_code": "US",
            "telephone_number": "718-547-7211",
            "fax_number": "718-547-7991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALBERSTADT",
        "first_name": "GEOFFREY",
        "middle_name": "STUART",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "032513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083719223",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01203763",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara Hahn
• Elelta Hailemichael, DPM
• E-Toy Hairston
• Dorota Hajduk, NP
• Patricia Ellen Hakim, MA CCC-SLP
• Susha Cheryl Halberstam, DDS
• Ty T Hall
• Jodi I Halper, DDS
• Stacey Halpern, PSYD
• James Hambel

• Orthodontics and Dentofacial Orthopedics Dentistry in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.