Active NPI
Edward Gorodinsky, D.D.S
- Dentist
- Lindenhurst, NY
National Provider Identifier
1457574824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 048202-1
- Practice address
- 191 W Hoffman Ave
Lindenhurst, NY 11757-4036 - Phone
- (631) 226-2333
- Fax
- (631) 226-2386
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 048202-1 | NY | Primary |
Addresses
Primary practice location
191 W Hoffman Ave
Lindenhurst, NY 11757-4036
Mailing address
3901 Nostrand Ave Apt 3S
Brooklyn, NY 11235-2118
Phone (917) 364-9724
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 |
|---|---|---|---|
| 048202-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lindenhurst Dental Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Lindenhurst, NY
- NPI 1740483098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457574824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 NOSTRAND AVE APT 3S",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112352118",
"telephone_number": "917-364-9724",
"fax_number": "631-226-2386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 W HOFFMAN AVE",
"city": "LINDENHURST",
"state": "NY",
"postal_code": "117574036",
"telephone_number": "631-226-2333",
"fax_number": "631-226-2386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORODINSKY",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "048202-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lindenhurst, NY
- Joel Scott Goldstein, R.PH
- Robert Goldstein, O.D.
- Diana P Gonzalez
- Good Samaritan Hospital Medical Center
- Donna Rose Gordonson, LCSW-R
- Susan Gottlieb, M.D.
- Katarzyna Gozdziewicz, MSED, BCBA, LBA
- Grace Colasacco, Licensed Mental Health Counselor, PLLC
- Jessica Lyn Graff, PA
- Gramercy Medical Recovery Equipment Inc.
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.