Gertz Plaza Dental Associates, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

035570 Issued in NY

Legal business name

GERTZ PLAZA DENTAL ASSOCIATES, P.C.

Practice address

16814 Jamaica Ave
Jamaica, NY 11432-5216

Phone

(718) 658-0123

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Charles Garczynski, D.D.S.

Title

Vice-Pres

Phone

(718) 658-0123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1265653968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16814 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325216",
            "telephone_number": "718-658-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16814 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325216",
            "telephone_number": "718-658-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERTZ PLAZA DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "GARCZYNSKI",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "VICE-PRES",
        "authorized_official_telephone_number": "718-658-0123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "035570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Jamaica, NY
• Providers in Jamaica, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.