Individual provider Active NPI

Vanda Mihaela Georgescu, D.D.S.

  • General Practice Dentistry
  • Wappingers Falls, NY
National Provider Identifier
1255563151
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
054524 Issued in NY
Practice address
115 New Hackensack Rd
Wappingers Falls, NY 12590-1728
Phone
(845) 297-3950
NPI assigned
Aug 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 054524 NY Primary

Addresses

Primary practice location

115 New Hackensack Rd
Wappingers Falls, NY 12590-1728

Mailing address

115 New Hackensack Rd
Wappingers Falls, NY 12590-1728
Phone (845) 297-3950

Other names 1

  • Vanda Mihaela Ghelase Former 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
I20151230002045 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183926652

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
054524NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wappingers Dental, PLLC Past Accepting new patients
DRS. Brownstein and Smith Past Accepting new patients

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": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1255563151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 NEW HACKENSACK RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901728",
            "telephone_number": "845-297-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 NEW HACKENSACK RD",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125901728",
            "telephone_number": "845-297-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGESCU",
        "first_name": "VANDA",
        "middle_name": "MIHAELA",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "054524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANDA",
            "last_name": "GHELASE",
            "middle_name": "MIHAELA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wappingers Falls, NY

Sources for this page

Verify at the official NPI Registry.