Individual provider Active NPI

Gary Martin Kolinsky, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Forest Hills, NY
National Provider Identifier
1205967296
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
043416 Issued in NY
Practice address
11203 Queens Blvd
Suite 202
Forest Hills, NY 11375-5550
Phone
(718) 275-5700
Fax
(718) 275-5279
NPI assigned
Mar 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 043416 NY Primary

Addresses

Primary practice location

11203 Queens Blvd
Suite 202
Forest Hills, NY 11375-5550

Mailing address

11203 Queens Blvd
Suite 202
Forest Hills, NY 11375-5550
Phone (718) 275-5700

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
I20150212000247 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4385969450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
043416NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weitzman Oral Surgery and Implantology Oral and Maxillofacial Surgery Past Accepting new patients

Organizations & group practices 1

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": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205967296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD",
            "address_2": "SUITE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-275-5700",
            "fax_number": "718-275-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11203 QUEENS BLVD",
            "address_2": "SUITE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755550",
            "telephone_number": "718-275-5700",
            "fax_number": "718-275-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLINSKY",
        "first_name": "GARY",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "043416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.