Individual provider Active NPI

Olga Ferdman, DDS

  • Pediatric Dentistry
  • Babylon, NY
National Provider Identifier
1497984249
Registry record updated Apr 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
50054993 Issued in NY
Practice address
496 W Main St
Babylon, NY 11702-3010
Phone
(631) 669-1878
NPI assigned
Jul 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 50054993 NY Primary

Addresses

Primary practice location

496 W Main St
Babylon, NY 11702-3010

Mailing address

496 W Main St
Babylon, NY 11702-3010
Phone (631) 669-1878

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
I20160526000536 NY Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7810287240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50054993NYMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry I. Ferdman D.D.S. P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1497984249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023010",
            "telephone_number": "631-669-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 W MAIN ST",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023010",
            "telephone_number": "631-669-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDMAN",
        "first_name": "OLGA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "50054993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

Verify at the official NPI Registry.