Active NPI
Gamma Sheepshead Bay Dental P.C.
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1538323241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 048409
- Legal business name
- GAMMA SHEEPSHEAD BAY DENTAL P.C.
- Practice address
- 1021 Avenue Z
Brooklyn, NY 11235-5105 - Phone
- (718) 769-4900
- NPI assigned
- Jul 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga D Gelfand
- Title
- Dentist
- Phone
- (718) 769-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 048409 | NY | Primary |
Addresses
Primary practice location
1021 Avenue Z
Brooklyn, NY 11235-5105
Mailing address
1021 Avenue Z
Brooklyn, NY 11235-5105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02957239 | Medicaid | NY | |
| 01978770 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215734400000",
"number": "1538323241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 AVENUE Z",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 AVENUE Z",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112355105",
"telephone_number": "718-769-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GAMMA SHEEPSHEAD BAY DENTAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-11",
"last_updated": "2008-07-11",
"status": "A",
"authorized_official_last_name": "GELFAND",
"authorized_official_first_name": "OLGA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "718-769-4900"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "048409",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02957239",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01978770",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.