Individual provider Active NPI

Renee Barbara Gaska, D.M.D.

  • General Practice Dentistry
  • Croton on Hudson, NY
National Provider Identifier
1639214083
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
040612 Issued in NY
Practice address
1280 Albany Post Rd
Croton on Hudson, NY 10520-1570
Phone
(914) 271-5151
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 040612 NY Primary

Addresses

Primary practice location

1280 Albany Post Rd
Croton on Hudson, NY 10520-1570

Mailing address

86 Todd Rd
Katonah, NY 10536-2718
Phone (914) 232-2805

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151105002247 NY Order and Referring Only - DentistPractitioner - Dentist 5799095543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040612NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1639214083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 TODD RD",
            "city": "KATONAH",
            "state": "NY",
            "postal_code": "105362718",
            "telephone_number": "914-232-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 ALBANY POST RD",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105201570",
            "telephone_number": "914-271-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASKA",
        "first_name": "RENEE",
        "middle_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "040612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Croton on Hudson, NY

Sources for this page

Verify at the official NPI Registry.