Active NPI
Michael Gitlin DDS PC
- General Practice Dentistry
- Bethpage, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 041069
- Legal business name
- MICHAEL GITLIN DDS PC
- Practice address
- 4250 Hempstead Tpke
#4
Bethpage, NY 11714-5711 - Phone
- (516) 579-8950
- NPI assigned
- Jan 3, 2012
- Last updated
- Jan 3, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Gitlin
- Title
- Owener
- Phone
- (516) 579-8950
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 041069 | NY | Primary |
Addresses
Primary practice location
4250 Hempstead Tpke
#4
Bethpage, NY 11714-5711
Mailing address
4250 Hempstead Tpke
#4
Bethpage, NY 11714-5711
Phone (516) 579-8950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01044408 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Gitlin Dental Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Bethpage, NY
- NPI 1912051236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1325548800000",
"number": "1154691541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 HEMPSTEAD TPKE",
"address_2": "#4",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145711",
"telephone_number": "516-579-8950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4250 HEMPSTEAD TPKE",
"address_2": "#4",
"city": "BETHPAGE",
"state": "NY",
"postal_code": "117145711",
"telephone_number": "516-579-8950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL GITLIN DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A",
"authorized_official_last_name": "GITLIN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWENER",
"authorized_official_telephone_number": "516-579-8950"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "041069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01044408",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethpage, NY
- Joanne Mesawich
- Metropolitan Lithotriptor Associates, PC
- Metropolitan Urological Specialists, PC
- Jessica Cohen Micciulli, L.M.H.C.
- Michael Gitlin DDS P.C. (Gitlin Dental Group)
- Nicholas Michael, PA-C
- Michele Elise Michelson, LBA
- Mid Island Eye Physicians & Surgeons PC
- Mid Island GYN
- Jeanette Lucille Milevoj
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.