Organization Active NPI

Robert Gabrielli DDS and Blanca Navarro DDS PC

  • Prosthodontics
  • Centerport, NY
National Provider Identifier
1508132317
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
051102 Issued in NY
Legal business name
ROBERT GABRIELLI DDS AND BLANCA NAVARRO DDS PC
Practice address
200 Old Field Rd
Centerport, NY 11721-1726
Phone
(631) 754-1988
Fax
(631) 754-1992
NPI assigned
Mar 26, 2012
Last updated
Mar 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Dr. Robert Gabrielli, DDS
Title
President
Phone
(631) 754-1988

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 053890 NY
Prosthodontics 1223P0700X 051102 NY Primary

Addresses

Primary practice location

200 Old Field Rd
Centerport, NY 11721-1726

Mailing address

200 Old Field Rd
Centerport, NY 11721-1726
Phone (631) 754-1988

National Provider Directory

National Provider Directory

Locations

200 Old Field Rd
Centerport, NY 11721
Phone (631) 754-1988

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1508132317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD FIELD RD",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211726",
            "telephone_number": "631-754-1988",
            "fax_number": "631-754-1992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD FIELD RD",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211726",
            "telephone_number": "631-754-1988",
            "fax_number": "631-754-1992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT GABRIELLI DDS AND BLANCA NAVARRO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "GABRIELLI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-754-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "053890",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "051102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.