Individual provider Active NPI

Joshua Gersten

  • Oral and Maxillofacial Surgery (Dentist)
  • Huntington, NY
National Provider Identifier
1194187989
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
059162 Issued in NY
Practice address
790 New York Ave Ste 100
Huntington, NY 11743-4401
Phone
(631) 427-7373
NPI assigned
Mar 22, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 059162 NY Primary

Addresses

Primary practice location

790 New York Ave Ste 100
Huntington, NY 11743-4401

Mailing address

790 New York Ave Ste 100
Huntington, NY 11743-4401
Phone (718) 245-4916

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 Apr 19, 2023 through Apr 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
059162NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Implant &Oral Surgery Associates PC Oral and Maxillofacial Surgery CurrentSince Jul 16, 2023 Accepting new patients
Asnis Dental, PLLC PastSince Jul 16, 2023 Accepting new patients

Locations

1 Mark Tree Rd
Centereach, NY 11720
Phone (631) 737-2626

790 New York Ave
Ste 100
Huntington, NY 11743
Phone (631) 427-7373

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1194187989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 NEW YORK AVE STE 100",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434401",
            "telephone_number": "718-245-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 NEW YORK AVE STE 100",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434401",
            "telephone_number": "631-427-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTEN",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-22",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "059162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.