Active NPI
Lee Gold, DDS
- Dentist
- New York, NY
National Provider Identifier
1376563379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 049731-1
- Practice address
- 589 Broadway
2ND Floor
New York, NY 10012-3231 - Phone
- (646) 870-5652
- Fax
- (212) 219-8812
- NPI assigned
- Jul 20, 2006
- Last updated
- Jan 27, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 049731-1 | NY | Primary |
Addresses
Primary practice location
589 Broadway
2ND Floor
New York, NY 10012-3231
Mailing address
589 Broadway
2ND Floor
New York, NY 10012-3231
Phone (646) 870-5652
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 |
|---|---|---|---|
| 049731-1 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B Thuy Le MD P C | Current | Accepting new patients | |
| Lee a Gold DDS PC | Dentist | Current | Accepting new patients |
Locations
589 Broadway
Fl 2
New York, NY 10012
Phone (212) 219-7600
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1376563379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "589 BROADWAY",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100123231",
"telephone_number": "646-870-5652",
"fax_number": "212-219-8812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "589 BROADWAY",
"address_2": "2ND FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100123231",
"telephone_number": "646-870-5652",
"fax_number": "212-219-8812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLD",
"first_name": "LEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "049731-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.