Individual provider Active NPI

Gila Yaffa Beer, DDS

  • Periodontics
  • Vestal, NY
National Provider Identifier
1700198769
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
22DI02391300 Issued in NJ
Practice address
2521 Vestal Pkwy W
Vestal, NY 13850-1056
Phone
(607) 754-2217
NPI assigned
Jul 7, 2010
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150828000207 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779899232
I20150904002036 NJ Order and Referring Only - DentistPractitioner - Dentist 3779899232

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI02391300NJMDPeriodontist
053203-1NYMDPeriodontist

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

Verify at the official NPI Registry.