Individual provider Active NPI

Gregory Bangiyev, DDS

  • General Practice Dentistry
  • New Hyde Park, NY
National Provider Identifier
1699182873
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
057315 Issued in NY
Practice address
2001 Marcus Ave Ste W90
New Hyde Park, NY 11042-2045
Phone
(516) 354-4800
NPI assigned
Jul 19, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 057315 NY Primary

Addresses

Primary practice location

2001 Marcus Ave Ste W90
New Hyde Park, NY 11042-2045

Mailing address

2001 Marcus Ave
Suite 90W
Lake Success, NY 11042
Phone (516) 354-4800

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
057315NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ab & GB Dental, P.C. CurrentSince Feb 4, 2024 Accepting new patients

Locations

212 Hempstead Ave
Lynbrook, NY 11563
Phone (516) 599-5880

Interoperability endpoints

  • Direct secure messaging: gbangiyev25484@direct.medisys.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1405728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699182873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE",
            "address_2": "SUITE 90W",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-354-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARCUS AVE STE W90",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110422045",
            "telephone_number": "516-354-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANGIYEV",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "057315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.