Oleg Goncharov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

050550 Issued in NY

Practice address

2022 Lexington Ave
New York, NY 10035-2225

Phone

(212) 987-0777

NPI assigned

Jul 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1285834028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 5TH AVE APT 615",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118817",
            "telephone_number": "646-244-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 LEXINGTON AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100352225",
            "telephone_number": "212-987-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCHAROV",
        "first_name": "OLEG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02573971",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey M Goncalves, MS, CCC-SLP
• Marcus Dasilva Goncalves, M.D., PH.D.
• Meryann Goncalves
• Nicholas Goncalves, PA-C
• Dimitry Goncharov, DO
• Tamas Gonda, M.D.
• Suma Gondi
• Gabriel Gondolesi, MD
• Evelyne Nadia Gone, M.D.
• Corey Kristoffer Gonera, PMHNP

• Dentist in New York, NY
• Providers in New York, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.