Active NPI
Gwen M. Engelhard, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1467584045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37587
- Practice address
- 212 W 15TH St
First Floor
New York, NY 10011-6577 - Phone
- (212) 243-2023
- Fax
- (212) 243-2687
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37587 | NY | Primary |
Addresses
Primary practice location
212 W 15TH St
First Floor
New York, NY 10011-6577
Mailing address
55 E End Ave
Apt. 14C
New York, NY 10028-7928
Phone (212) 243-2023
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 |
|---|---|---|---|
| 37587 | NY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1467584045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E END AVE",
"address_2": "APT. 14C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100287928",
"telephone_number": "212-243-2023",
"fax_number": "212-243-2687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 W 15TH ST",
"address_2": "FIRST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100116577",
"telephone_number": "212-243-2023",
"fax_number": "212-243-2687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGELHARD",
"first_name": "GWEN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "37587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.