Individual provider Active NPI

Paul J Getreu, D.D.S.

  • Dentist
  • Rosedale, NY
National Provider Identifier
1114142858
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36838 Issued in NY
Practice address
25301 Rockaway Blvd
Five Towns Plaza
Rosedale, NY 11422-3113
Phone
(516) 569-3524
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36838 NY Primary

Addresses

Primary practice location

25301 Rockaway Blvd
Five Towns Plaza
Rosedale, NY 11422-3113

Mailing address

253-01 Rockaway Blvd.
Five Towns Shopping Center
Rosedale, NY 11422-0000
Phone (516) 569-3524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Feb 2, 2016 through Feb 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36838NYMDPharmacist
036838NYMDPhysical Therapist

Interoperability endpoints

  • Direct secure messaging: pgetreu81116@direct.medisys.org

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331251200000",
    "number": "1114142858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253-01 ROCKAWAY BLVD.",
            "address_2": "FIVE TOWNS SHOPPING CENTER",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114220000",
            "telephone_number": "516-569-3524",
            "fax_number": "516-569-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25301 ROCKAWAY BLVD",
            "address_2": "FIVE TOWNS PLAZA",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223113",
            "telephone_number": "516-569-3524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GETREU",
        "first_name": "PAUL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2012-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "36838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosedale, NY

Sources for this page

Verify at the official NPI Registry.