Active NPI
Kasparas Vilimas
- Dentist
- West Coxsackie, NY
National Provider Identifier
1629501119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 060020
- Practice address
- 12498 State Route 9W
West Coxsackie, NY 12192-1705 - Phone
- (518) 731-2797
- NPI assigned
- Apr 11, 2017
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 060020 | NY | Primary |
Addresses
Primary practice location
12498 State Route 9W
West Coxsackie, NY 12192-1705
Mailing address
4802 10TH Ave
Maimonides Medical Center
Brooklyn, NY 11219
Other practice location 1
4802 10th Ave
Maimonides Medical Center
Brooklyn, NY 11219
Phone (718) 283-8000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 060020 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Baltimore Family Dentistry, LLP | Single Specialty | Past | Accepting new patients |
| Marvin a. Gertzberg, D.D.S. | Dentist | 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 and National Provider Directory roles.
-
- Dentist
- West Coxsackie, NY
- NPI 1477714236
-
- General Practice Dentistry
- West Coxsackie, NY
- NPI 1174944243
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547164800000",
"number": "1629501119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"address_2": "MAIMONIDES MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12498 STATE ROUTE 9W",
"city": "WEST COXSACKIE",
"state": "NY",
"postal_code": "121921705",
"telephone_number": "518-731-2797"
}
],
"practiceLocations": [
{
"address_1": "4802 10th Ave",
"address_2": "Maimonides Medical Center",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "11219",
"country_code": "US",
"telephone_number": "718-283-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILIMAS",
"first_name": "KASPARAS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-11",
"last_updated": "2019-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "060020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Coxsackie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.