Active NPI
Michael Evan Gelfman, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Albany, NY
National Provider Identifier
1548439805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 050384
- Practice address
- 5 Palisades Dr
Suite 210
Albany, NY 12205-6433 - Phone
- (518) 348-0634
- NPI assigned
- Feb 20, 2008
- Last updated
- Oct 16, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 050384 | NY | Primary |
Addresses
Primary practice location
5 Palisades Dr
Suite 210
Albany, NY 12205-6433
Mailing address
5 Palisades Dr
Suite 210
Albany, NY 12205-6433
Phone (518) 348-0634
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02960649 | Medicaid | NY |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Oral and Maxillofacial Surgery Professional Association | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Prime Anesthesia PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- West Lebanon, NH
- NPI 1740887876
-
- Oral and Maxillofacial Surgery (Dentist)
- West Lebanon, NH
- NPI 1073600706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1548439805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PALISADES DR",
"address_2": "SUITE 210",
"city": "ALBANY",
"state": "NY",
"postal_code": "122056433",
"telephone_number": "518-348-0634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PALISADES DR",
"address_2": "SUITE 210",
"city": "ALBANY",
"state": "NY",
"postal_code": "122056433",
"telephone_number": "518-348-0634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELFMAN",
"first_name": "MICHAEL",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "050384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02960649",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.