Active NPI
Youstina Guirguis, D.M.D
- General Practice Dentistry
- Suffern, NY
National Provider Identifier
1285017269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 058656-1
- Practice address
- 37 S Airmont Rd
Suffern, NY 10901-7134 - Phone
- (914) 522-4582
- NPI assigned
- Jul 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 058656-1 | NY | Primary |
Addresses
Primary practice location
37 S Airmont Rd
Suffern, NY 10901-7134
Mailing address
37 S Airmont Rd
Suffern, NY 10901-7134
Phone (914) 522-4582
Other practice location 1
2094 Albany Post Rd
Montrose, NY 10548-1454
Phone (914) 737-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 058656-1 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pearl Dentistry PLLC | General Practice | Current | 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.
-
- General Practice Dentistry
- Pearl River, NY
- NPI 1811689516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1285017269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 S AIRMONT RD",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109017134",
"telephone_number": "914-522-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 S AIRMONT RD",
"city": "SUFFERN",
"state": "NY",
"postal_code": "109017134",
"telephone_number": "914-522-4582"
}
],
"practiceLocations": [
{
"address_1": "2094 Albany Post Rd",
"address_purpose": "LOCATION",
"city": "Montrose",
"state": "NY",
"postal_code": "105481454",
"country_code": "US",
"telephone_number": "914-737-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUIRGUIS",
"first_name": "YOUSTINA",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "058656-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suffern, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.