Matthew Ghadami, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050254 Issued in NY

Practice address

24902 Jericho Tpke
Floral Park, NY 11001-4023

Phone

(516) 354-1700

Fax

(516) 354-4845

NPI assigned

Sep 2, 2005

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": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1316931561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24902 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014023",
            "telephone_number": "516-354-1700",
            "fax_number": "516-354-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24902 JERICHO TPKE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110014023",
            "telephone_number": "516-354-1700",
            "fax_number": "516-354-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHADAMI",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02521497",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincy George, RN,BS IN HEALTH ADMN
• Marilyn Esthappan George, DDS
• Katherine M Geraghty
• Laurel J Geraghty, MSPT
• Get Ahead With MK
• Gurleen Kaur Gill
• Keri Alanna Gillings-Schembeck, FNP-BC
• Maria Giuffre, M.S.ED
• GJL Medical Laboratories, Inc.
• Glen Oak Medical Care PLLC

• General Practice Dentistry in Floral Park, NY
• Providers in Floral Park, 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 Nov 29, 2016; 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.