Organization Active NPI

Gary H Minkowitz DDS PC

  • General Practice Dentistry
  • Maspeth, NY
National Provider Identifier
1356512347
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
037667 Issued in NY
Legal business name
GARY H MINKOWITZ DDS PC
Practice address
5523 69TH St
Maspeth, NY 11378-1806
Phone
(718) 898-6050
Fax
(718) 898-1728
NPI assigned
Mar 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Gary Howard Minkowitz, D.D.S.NPI 1639168537
Title
President
Phone
(718) 898-6050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 037667 NY Primary

Addresses

Primary practice location

5523 69TH St
Maspeth, NY 11378-1806

Mailing address

5523 69TH St
Maspeth, NY 11378-1806
Phone (718) 898-6050

Other identifiers 1

IdentifierTypeStateIssuer
00785680MedicaidNY

National Provider Directory

National Provider Directory

Locations

5523 69th St
Maspeth, NY 11378
Phone (718) 898-6050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1356512347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 69TH ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781806",
            "telephone_number": "718-898-6050",
            "fax_number": "718-898-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 69TH ST",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781806",
            "telephone_number": "718-898-6050",
            "fax_number": "718-898-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY H MINKOWITZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "MINKOWITZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-898-6050",
        "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": "037667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00785680",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.