Active NPI
Robert Stephen Gureasko, DDS
- Endodontics
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 031806
- Practice address
- 1824 Madison Ave
New York, NY 10035-3832 - Phone
- (212) 423-4400
- NPI assigned
- May 20, 2007
- Last updated
- Mar 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 031806 | NY | Primary |
Addresses
Primary practice location
1824 Madison Ave
New York, NY 10035-3832
Mailing address
36 Old Pond Rd
South Salem, NY 10590-1018
Phone (973) 714-7582
Other practice location 1
36 Old Pond Rd
South Salem, NY 10590-1018
Phone (973) 714-7582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Current | Accepting new patients | |
| The Institute for Family Health | Current | Accepting new patients |
Locations
279 Main St
Ste 204
New Paltz, NY 12561
Phone (845) 255-3046
1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Institute for Family Health
- Family Medicine Physician
- New York, NY
- NPI 1295729408
-
- Family Medicine Physician
- New York, NY
- NPI 1972877017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1134337389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 OLD POND RD",
"city": "SOUTH SALEM",
"state": "NY",
"postal_code": "105901018",
"telephone_number": "973-714-7582",
"fax_number": "914-763-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1824 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100353832",
"telephone_number": "212-423-4400"
}
],
"practiceLocations": [
{
"address_1": "36 Old Pond Rd",
"address_purpose": "LOCATION",
"city": "South Salem",
"state": "NY",
"postal_code": "105901018",
"country_code": "US",
"telephone_number": "973-714-7582",
"fax_number": "914-763-8225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUREASKO",
"first_name": "ROBERT",
"middle_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-20",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "031806",
"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 Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.