Geetha Balamurugan,D.D.S.,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

049539-1 Issued in NY

Legal business name

GEETHA BALAMURUGAN,D.D.S.,P.C.

Practice address

116 Broadway
Amityville, NY 11701-2797

Phone

(631) 264-2610

Fax

(631) 264-2612

NPI assigned

Jun 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Geetha Balamurugan, D.D.S.NPI 1952361644

Title

President

Phone

(631) 264-2610

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geetha Balamurugan, DDS

  • General Practice Dentistry
  • Amityville, NY
  • NPI 1952361644
  NPD (past) Authorized official
• Jeffrey Mark Walters, DMD

  • General Practice Dentistry
  • Amityville, NY
  • NPI 1942298062
  NPD (past)

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

{
    "created_epoch": "1180828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275735185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012797",
            "telephone_number": "631-264-2610",
            "fax_number": "631-264-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BROADWAY",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012797",
            "telephone_number": "631-264-2610",
            "fax_number": "631-264-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEETHA BALAMURUGAN,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BALAMURUGAN",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-264-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049539-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02249278",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Gerard Garcia, M.D.
• Jorge L. Gardyn, M.D.
• Tricia Marie Gates
• Denae Gatling
• Edison Genaro Gavilanes, MD
• Shine George
• Waheed U Ghauri, RPH
• Skyler Gherardi, LMSW
• Ibrahim Mostafa Ghobashy, DENTAL DEGREE DDS
• Piya Ghoshal, M.D.

• General Practice Dentistry in Amityville, NY
• Providers in Amityville, 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 Aug 22, 2020; 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.