Individual provider Active NPI

Roger A Gause, D.D.S.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1083992184
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
50055564 Issued in NY
Practice address
133 E 58TH St Ste 1201
New York, NY 10022-1269
Phone
(917) 675-7468
Fax
(212) 588-8841
NPI assigned
Jul 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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 50055564 NY Primary

Addresses

Primary practice location

133 E 58TH St Ste 1201
New York, NY 10022-1269

Mailing address

133 E 58TH St Ste 1201
New York, NY 10022-1269
Phone (917) 675-7468

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

LicenseStateTypeSpecialty
50055564NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Gause DDS PC 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.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1083992184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST STE 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221269",
            "telephone_number": "917-675-7468",
            "fax_number": "212-588-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST STE 1201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221269",
            "telephone_number": "917-675-7468",
            "fax_number": "212-588-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUSE",
        "first_name": "ROGER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "50055564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.