Individual provider Active NPI

Rajanesh Gaur, D.M.D.

  • Dentist
  • Huntington Station, NY
National Provider Identifier
1619031507
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50 053587 Issued in NY
Practice address
860 E Jericho Tpke
Huntington Station, NY 11746-7505
Phone
(631) 673-8040
NPI assigned
Dec 21, 2006
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50 053587 NY Primary

Addresses

Primary practice location

860 E Jericho Tpke
Huntington Station, NY 11746-7505

Mailing address

860 E Jericho Tpke
Huntington Station, NY 11746-7505
Phone (631) 673-8040

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

LicenseStateTypeSpecialty
50 053587NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1619031507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467505",
            "telephone_number": "631-673-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E JERICHO TPKE",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117467505",
            "telephone_number": "631-673-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUR",
        "first_name": "RAJANESH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50 053587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.