Daniel Gasperini, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058578 Issued in NY

Practice address

6 Old North Plank Rd Ste 104
Newburgh, NY 12550-8429

Phone

(845) 471-2311

NPI assigned

Jul 8, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1457734436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OLD NORTH PLANK RD STE 104",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508429",
            "telephone_number": "845-471-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 OLD NORTH PLANK RD STE 104",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508429",
            "telephone_number": "845-471-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPERINI",
        "first_name": "DANIEL",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058578",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Tara Gallucci, LMSW
• Alesia Galvao
• Patricia Gannon
• Michael Garda
• Diego Garrido, CRNA
• Gay Lee Corp
• Lyronie Melissia Gayle, LMSW
• Peter Geller, LCSW
• Adara Gemellaro
• Nicole Jolene Gemma

• General Practice Dentistry in Newburgh, NY
• Providers in Newburgh, 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 30, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.