Active NPI
Kinjel Gatha, D.D.S
- Dentist
- Floral Park, NY
National Provider Identifier
1316179922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50 055133
- Practice address
- 26910 Grand Central Pkwy
Building 3, Apartment 3S
Floral Park, NY 11005-1045 - Phone
- (516) 562-4525
- NPI assigned
- Aug 14, 2009
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 50 055133 | NY | Primary |
Addresses
Primary practice location
26910 Grand Central Pkwy
Building 3, Apartment 3S
Floral Park, NY 11005-1045
Mailing address
26910 Grand Central Pkwy
Building 3, Apartment 3S
Floral Park, NY 11005-1045
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 |
|---|---|---|---|
| 50 055133 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387411200000",
"number": "1316179922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26910 GRAND CENTRAL PKWY",
"address_2": "BUILDING 3, APARTMENT 3S",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110051045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26910 GRAND CENTRAL PKWY",
"address_2": "BUILDING 3, APARTMENT 3S",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110051045",
"telephone_number": "516-562-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATHA",
"first_name": "KINJEL",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-14",
"last_updated": "2013-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "50 055133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.