Gotham Oral & Maxillofacial Surgery P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

053186 Issued in NY

Legal business name

GOTHAM ORAL & MAXILLOFACIAL SURGERY P.C.

Practice address

563 E Tremont Ave
Bronx, NY 10457-4655

Phone

(718) 466-4500

Fax

(917) 792-8502

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Eleftherios Gavriil, DDS

Title

President

Phone

(718) 466-4500

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1710246533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574655",
            "telephone_number": "718-466-4500",
            "fax_number": "917-792-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "563 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574655",
            "telephone_number": "718-466-4500",
            "fax_number": "917-792-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHAM ORAL & MAXILLOFACIAL SURGERY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "GAVRIIL",
        "authorized_official_first_name": "ELEFTHERIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-466-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "053186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03399171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manishgiri S Goswami, PHARMD, MS, MBA
• Rinki Goswami, MD
• Tarsis Damaris Gotay-Ihonor, LMSW
• Ana Elizabeth Gotay, FNP
• Gotham Eye Medical, P.C.
• Gotham Per Diem, Inc.
• Amnon Gotian, M.D.
• Julia Sage Gotkin, CCC-SLP
• Lisa Goto, MD
• Michael Gottesman, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Bronx, NY
• Providers in Bronx, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; 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.