Active NPI
Gent Mollabeqiri
- Dentist
- New York, NY
National Provider Identifier
1093240160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 060036-1
- Practice address
- 115 Chambers St
New York, NY 10007 - Phone
- (212) 766-4440
- NPI assigned
- Apr 26, 2017
- 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 | 060036-1 | NY | Primary |
Addresses
Primary practice location
115 Chambers St
New York, NY 10007
Mailing address
245 E 84TH St
Apt 2C
New York, NY 10028-2973
Phone (917) 770-7999
Other practice location 1
245 E 84th St
Apt 2C
New York, NY 10028-2973
Phone (917) 770-7999
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 |
|---|---|---|---|
| 060036-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535673600000",
"number": "1093240160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 E 84TH ST",
"address_2": "APT 2C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100282973",
"telephone_number": "917-770-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 CHAMBERS ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10007",
"telephone_number": "212-766-4440"
}
],
"practiceLocations": [
{
"address_1": "245 E 84th St",
"address_2": "Apt 2C",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100282973",
"country_code": "US",
"telephone_number": "917-770-7999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLLABEQIRI",
"first_name": "GENT",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-26",
"last_updated": "2018-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "060036-1",
"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 Aug 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.