Organization Active NPI

Gama Dental PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1568697746
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044836 Issued in NY
Legal business name
GAMA DENTAL PC
Doing business as
gama dental pc
Practice address
270 Avenue P
Brooklyn, NY 11204-4947
Phone
(718) 375-9090
Fax
(718) 375-6618
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Mr. Maksim Khelemsky, DDSNPI 1982705067
Title
President
Phone
(718) 375-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 044836 NY Primary

Addresses

Primary practice location

270 Avenue P
Brooklyn, NY 11204-4947

Mailing address

270 Avenue P
Brooklyn, NY 11204-4947
Phone (718) 375-9090

Other identifiers 1

IdentifierTypeStateIssuer
01421021MedicaidNY

Other names 1

  • gama dental pc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221019002579 NY Part B Supplier - Clinic/Group Practice 9830565647 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

270 Avenue P
Brooklyn, NY 11204
Phone (718) 375-9090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1568697746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044947",
            "telephone_number": "718-375-9090",
            "fax_number": "718-375-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044947",
            "telephone_number": "718-375-9090",
            "fax_number": "718-375-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "KHELEMSKY",
        "authorized_official_first_name": "MAKSIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-375-9090",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01421021",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "gama dental pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.