Gideon Fersztman, ORTHODONTICS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

051889 Issued in NY

Practice address

750 Dick Road
Dr Gambacorta & Dental Associates
Cheektowaga, NY 14225-3848

Phone

(716) 684-8882

Fax

(716) 651-0110

NPI assigned

Mar 16, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225152465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 DICK ROAD",
            "address_2": "DR GAMBACORTA & DENTAL ASSOCIATES",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253848",
            "telephone_number": "716-684-8882",
            "fax_number": "716-651-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 DICK ROAD",
            "address_2": "DR GAMBACORTA & DENTAL ASSOCIATES",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142253848",
            "telephone_number": "716-684-8882",
            "fax_number": "716-651-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERSZTMAN",
        "first_name": "GIDEON",
        "name_prefix": "Dr.",
        "credential": "ORTHODONTICS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "051889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Felder, RN
• Karen Felicetta, COTA
• Peter Feng, PHARMD
• Katherine Ann Fenster, NP
• Elizabeth Ferro, LPN
• Jaime Fetes, PA
• Colleen E Feustel, LPN
• Monica Fields
• Gail A Finch, RN
• Michael P Finnegan, MSED

• Orthodontics and Dentofacial Orthopedics Dentistry in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.