Active NPI
Bo G Ha, D.D.S
- Endodontics
- Westbury, NY
National Provider Identifier
1487839619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 051606
- Practice address
- 900 Merchants Concourse
Suite LL8
Westbury, NY 11590-5142 - Phone
- (516) 683-9100
- Fax
- (516) 683-1232
- NPI assigned
- Jan 7, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 051606 | NY | Primary |
Addresses
Primary practice location
900 Merchants Concourse
Suite LL8
Westbury, NY 11590-5142
Mailing address
234 Prairie Dr
North Babylon, NY 11703-1002
Phone (631) 338-0118
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160531001273 | NY | Order and Referring Only - Other (Physician) | 8729378914 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051606 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gambella/Napoli Dental PLLC | 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.
-
- Dentist
- Westbury, NY
- NPI 1841416682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199664000000",
"number": "1487839619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 PRAIRIE DR",
"city": "NORTH BABYLON",
"state": "NY",
"postal_code": "117031002",
"telephone_number": "631-338-0118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 MERCHANTS CONCOURSE",
"address_2": "SUITE LL8",
"city": "WESTBURY",
"state": "NY",
"postal_code": "115905142",
"telephone_number": "516-683-9100",
"fax_number": "516-683-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HA",
"first_name": "BO",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-07",
"last_updated": "2008-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "051606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.