Alexis Gersten, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

AGBG7886786 Issued in NY

Practice address

195 Montauk Highway
Speonk, NY 11972

Phone

(631) 325-0731

Fax

(631) 325-5540

NPI assigned

Apr 1, 2011

Last updated

Apr 1, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301616000000",
    "number": "1538458385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "119720497",
            "telephone_number": "631-325-0731",
            "fax_number": "631-325-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MONTAUK HIGHWAY",
            "city": "SPEONK",
            "state": "NY",
            "postal_code": "11972",
            "telephone_number": "631-325-0731",
            "fax_number": "631-325-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTEN",
        "first_name": "ALEXIS",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-01",
        "last_updated": "2011-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "AGBG7886786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Marie Bryant, RN
• Faye Catanzarite, PT
• Debra S Difrancesco, PT
• Dr. Diane Brooks, PSYD, PC
• Jennifer Anne Fay, PSY.D.
• Susan Hearn, P.T.
• Independent Group Home Living
• Island Home Care Agency, Inc
• James C Pierce DC PC
• Meisa Keivani, DDS

• General Practice Dentistry in Speonk, NY
• Providers in Speonk, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; 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.