Ilya L Garibyan, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN1858201 Issued in MA

Practice address

810 Main St
Melrose, MA 02176-2711

Phone

(781) 662-6228

NPI assigned

Jun 30, 2014

Last updated

Jan 28, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elliot Professional Services

  • Internal Medicine Physician
  • Manchester, NH
  • NPI 1285627935
  Medicare reassignment NPD
• Melrose Wakefield Oral Surgery Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Melrose, MA
  • NPI 1568409902
  Medicare reassignment
• Lynn Oral Surgery Associates Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Lynn, MA
  • NPI 1508096496
  NPD (past)
• New England Oral and Facial Surgery

  • Dental Clinic/Center
  • Groton, MA
  • NPI 1609470152
  NPD (past)

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1588079370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 PLAZA RD N APT A",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103640",
            "telephone_number": "617-642-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762711",
            "telephone_number": "781-662-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIBYAN",
        "first_name": "ILYA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MA",
            "license": "DN1858201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris-Ann Fullen, PTA
• Alyssa M Funicella, MSN, RN, FNP-C
• Valerie Christina Fusco, NP-C
• Jacqueline J Gagliardi, M.ED.
• Zina E Gambacorta, DMD
• Allison Gasca-Backman, LICSW
• Natalie Gaskin, OTR/L
• Marie Gebbia, OTR
• Mona Edward Gebrael El Hachem
• Mary Lou Geiger, RDO

• Oral and Maxillofacial Surgery (Dentist) in Melrose, MA
• Providers in Melrose, MA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.