Myron Gurman, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

024006-1 Issued in NY

Practice address

5231 Little Neck Pkwy
Little Neck, NY 11362-1836

Phone

(718) 224-0040

Fax

(718) 224-8853

NPI assigned

Jan 1, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Perry M. Iacovetti DDS PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Little Neck, NY
  • NPI 1457508897
  NPD (past)

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437215563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BRIDLE PATH",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115763115",
            "telephone_number": "516-742-7751",
            "fax_number": "516-742-7751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5231 LITTLE NECK PKWY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621836",
            "telephone_number": "718-224-0040",
            "fax_number": "718-224-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURMAN",
        "first_name": "MYRON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "024006-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00319397",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Greene, LMSW
• Catherine Tracy Grimes, MSED
• Kari Gruber
• Bon Ha Gu, LCSW
• Sinem Sule Gunes-Cetinkaya, MS, RD
• Marc Guttman, PSYD
• H Plaza Pharmacy Inc
• Sungwoong Ha, LAC
• Micheline Habashy-Santiago, DDS
• Laura Hagan, PT

• Orthodontics and Dentofacial Orthopedics Dentistry in Little Neck, NY
• Providers in Little Neck, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.