Active NPI
Aikaterini Georgantza, DDS
- Periodontics
- New York, NY
National Provider Identifier
1538778030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 000111
- Practice address
- 726 Broadway Ste 350
New York, NY 10003-9616 - Phone
- (212) 443-1300
- NPI assigned
- Jul 30, 2020
- Last updated
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 000111 | NY | Primary |
Addresses
Primary practice location
726 Broadway Ste 350
New York, NY 10003-9616
Mailing address
40 Berry Hill Rd
Oyster Bay, NY 11771-3515
Phone (347) 798-3967
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000111 | NY | MD | Radiological Physics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596067200000",
"number": "1538778030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BERRY HILL RD",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117713515",
"telephone_number": "347-798-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 BROADWAY STE 350",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100039616",
"telephone_number": "212-443-1300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEORGANTZA",
"first_name": "AIKATERINI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-30",
"last_updated": "2020-07-30",
"certification_date": "2020-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "000111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.