Active NPI
Edwin Ginsberg, D.M.D.
- Periodontics
- Great Neck, NY
National Provider Identifier
1407982341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 034706
- Practice address
- 233 E Shore Rd
Suite 104
Great Neck, NY 11023-2433 - Phone
- (516) 466-1070
- Fax
- (516) 466-6367
- NPI assigned
- Feb 26, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 034706 | NY | Primary |
Addresses
Primary practice location
233 E Shore Rd
Suite 104
Great Neck, NY 11023-2433
Mailing address
233 E Shore Rd
Suite 104
Great Neck, NY 11023-2433
Phone (516) 466-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 15, 2021 through Nov 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034706 | NY | MD | Periodontist |
Interoperability endpoints
- eginsberg473273@nyumc.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407982341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E SHORE RD",
"address_2": "SUITE 104",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110232433",
"telephone_number": "516-466-1070",
"fax_number": "516-466-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E SHORE RD",
"address_2": "SUITE 104",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110232433",
"telephone_number": "516-466-1070",
"fax_number": "516-466-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GINSBERG",
"first_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "034706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.