Individual provider Active NPI

Paraschiva Gusita, D.M.D.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1194050930
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055319 Issued in NY
Practice address
37 Park Ave
Suite B
New York, NY 10016-3811
Phone
(646) 233-9139
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 055319 NY Primary

Addresses

Primary practice location

37 Park Ave
Suite B
New York, NY 10016-3811

Mailing address

18 12 Menahan Street Apt 4C
Ridgewood
New York, NY 11385-1879
Phone (646) 233-9139

Other names 1

  • Paraschiva Petrea Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525000410 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183913510

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1194050930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 12 MENAHAN STREET APT 4C",
            "address_2": "RIDGEWOOD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "113851879",
            "telephone_number": "646-233-9139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 PARK AVE",
            "address_2": "SUITE B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163811",
            "telephone_number": "646-233-9139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSITA",
        "first_name": "PARASCHIVA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARASCHIVA",
            "last_name": "PETREA",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.