Organization Active NPI

Gulmar Dental PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1154592020
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048357 Issued in NY
Legal business name
GULMAR DENTAL PC
Practice address
1906 Mermaid Ave
1St Floor
Brooklyn, NY 11224-2508
Phone
(718) 333-1991
Fax
(718) 333-0068
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Marina Drabkina, DDS
Title
DDS
Phone
(718) 333-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 048357 NY Primary

Addresses

Primary practice location

1906 Mermaid Ave
1St Floor
Brooklyn, NY 11224-2508

Mailing address

1906 Mermaid Ave
1St Floor
Brooklyn, NY 11224-2508
Phone (718) 333-1991

Other identifiers 2

IdentifierTypeStateIssuer
01974987MedicaidNY
01975020MedicaidNY

National Provider Directory

National Provider Directory

Locations

1906 Mermaid Ave
Fl 1
Brooklyn, NY 11224
Phone (718) 333-1991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1154592020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 MERMAID AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242508",
            "telephone_number": "718-333-1991",
            "fax_number": "718-333-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 MERMAID AVE",
            "address_2": "1ST FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112242508",
            "telephone_number": "718-333-1991",
            "fax_number": "718-333-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULMAR DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "DRABKINA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "718-333-1991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01974987",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01975020",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.