Individual provider Active NPI

George Ghaly, DDS

  • Customized Equipment (DME)
  • Marlborough, MA
National Provider Identifier
1649268376
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Practice address
201 Boston Post Rd W Ste 405
Marlborough, MA 01752-4667
Phone
(508) 366-1855
Fax
(508) 870-0544
NPI assigned
Oct 6, 2005
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20215 MA
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

201 Boston Post Rd W Ste 405
Marlborough, MA 01752-4667

Mailing address

201 Boston Post Rd W Ste 405a
Marlborough, MA 01752-4667
Phone (508) 366-1855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20121102000384 MA Practitioner - Oral SurgeryPractitioner - Dentist 6507014057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

116 E Main St
Westborough, MA 01581-1417
Phone (508) 366-1911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
George Ghaly, DDS, PC General Practice CurrentSince Jan 16, 2003 Accepting new patients
Sleep Better Metrowest Customized Equipment CurrentSince Sep 24, 2023 Accepting new patients

Locations

201 Boston Post Rd W
Ste 405
Marlborough, MA 01752
Phone (508) 366-1855

201 Boston Post Rd W
Ste 405A
Marlborough, MA 01752
Phone (508) 366-1855

116 E Main St
Westborough, MA 01581
Phone (508) 364-7944

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1649268376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BOSTON POST RD W STE 405A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524667",
            "telephone_number": "508-366-1855",
            "fax_number": "508-870-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BOSTON POST RD W STE 405",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017524667",
            "telephone_number": "508-366-1855",
            "fax_number": "508-870-0544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHALY",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20215",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

Verify at the official NPI Registry.