Active NPI
Gila Yaffa Beer, DDS
- Periodontics
- Vestal, NY
National Provider Identifier
1700198769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 22DI02391300
- Practice address
- 2521 Vestal Pkwy W
Vestal, NY 13850-1056 - Phone
- (607) 754-2217
- NPI assigned
- Jul 7, 2010
- Last updated
- Aug 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 053203-1 | NY | |
| Periodontics | 1223P0300X | 22DI02391300 | NJ | Primary |
Addresses
Primary practice location
2521 Vestal Pkwy W
Vestal, NY 13850-1056
Mailing address
320 S Main St
Phillipsburg, NJ 08865-2859
Phone (917) 468-8457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150828000207 | NY | Order and Referring Only - Oral Surgery | 3779899232 | |
| I20150904002036 | NJ | Order and Referring Only - Dentist | 3779899232 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02391300 | NJ | MD | Periodontist |
| 053203-1 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1700198769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 S MAIN ST",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "088652859",
"telephone_number": "917-468-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 VESTAL PKWY W",
"city": "VESTAL",
"state": "NY",
"postal_code": "138501056",
"telephone_number": "607-754-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEER",
"first_name": "GILA",
"middle_name": "YAFFA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-07",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "053203-1",
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "22DI02391300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.