Jan Wade Gilbert DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

029102 Issued in NY

Legal business name

JAN WADE GILBERT DMD PC

Practice address

176 Broadway
Lawrence, NY 11559-1731

Phone

(516) 239-3333

NPI assigned

Nov 3, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jan Wade Gilbert, DMDNPI 1083748149

Title

Owner

Phone

(516) 239-3333

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jan Wade Gilbert, DMD

  • Dentist
  • Lawrence, NY
  • NPI 1083748149
  NPD (past) Authorized official

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1386971968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 BROADWAY",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591731",
            "telephone_number": "516-239-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 BROADWAY",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591731",
            "telephone_number": "516-239-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN WADE GILBERT DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-239-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "029102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dena Isaacs, M.A. OTR/L
• Vanessa Isoldi, P.A
• Chani Jacobowitz
• Steven Jacobs, P.A.
• Moiz Jaffarji
• France Irma Jasmin, NP
• Gila Jedwab, DMD
• Rachel Joselit, RN
• Carline Joseph
• Joshua M. Feibusch M.D.P.C.

• General Practice Dentistry in Lawrence, NY
• Providers in Lawrence, 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 3, 2009; 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.