Active NPI
Michael L. Ferstendig, D.M.D.
- General Practice Dentistry
- Forest Hills, NY
National Provider Identifier
1629263280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 034863
- Practice address
- 6940 Yellowstone Blvd
Forest Hills, NY 11375-3759 - Phone
- (718) 896-3444
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 034863 | NY | Primary |
Addresses
Primary practice location
6940 Yellowstone Blvd
Forest Hills, NY 11375-3759
Mailing address
6940 Yellowstone Blvd
Forest Hills, NY 11375-3759
Phone (718) 896-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150623001147 | NY | Order and Referring Only - Oral Surgery | 1456662089 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 034863 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1629263280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6940 YELLOWSTONE BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753759",
"telephone_number": "718-896-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6940 YELLOWSTONE BLVD",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113753759",
"telephone_number": "718-896-3444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERSTENDIG",
"first_name": "MICHAEL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-07",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "034863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.