Individual provider Active NPI

Gabriel M. Terzano, DDS

  • Dentist
  • West Hempstead, NY
National Provider Identifier
1447467956
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
038255 Issued in NY
Practice address
557 Mohawk Rd
West Hempstead, NY 11552-3924
Phone
(516) 599-1045
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 038255 NY Primary

Addresses

Primary practice location

557 Mohawk Rd
West Hempstead, NY 11552-3924

Mailing address

557 Mohawk Rd
West Hempstead, NY 11552-3924
Phone (516) 599-1045

Other identifiers 1

IdentifierTypeStateIssuer
038255OtherNYNY STATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190422001545 NY Practitioner - Dentist 1557651031 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038255NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince Mar 16, 2019 Accepting new patients
The Institute for Family Health CurrentSince Mar 16, 2019 Accepting new patients

Locations

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1447467956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "557 MOHAWK RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523924",
            "telephone_number": "516-599-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 MOHAWK RD",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523924",
            "telephone_number": "516-599-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERZANO",
        "first_name": "GABRIEL",
        "middle_name": "M.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "038255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LICENSE NUMBER",
            "identifier": "038255",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

Verify at the official NPI Registry.