Robert M Peskin, D.D.S.

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

000248 Issued in NY

Practice address

601 Franklin Avenue
Suite 225
Garden City, NY 11530-5742

Phone

(516) 746-2434

Fax

(516) 746-3639

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wyckoff Heights Dental Services P.C.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1447298070

  Dental Anesthesiology

  Medicare reassignment NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1720118375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVE",
            "address_2": "SUITE 225",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305795",
            "telephone_number": "516-746-2434",
            "fax_number": "516-746-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 FRANKLIN AVENUE",
            "address_2": "SUITE 225",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115305742",
            "telephone_number": "516-746-2434",
            "fax_number": "516-746-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESKIN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "32715",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7717",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NY",
            "license": "000248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward A Perkes, MD
• Catherine Perkins, LCSW
• Vanessa Theresa Pero, MD
• Braden Perry
• Joseph Pesce, OTR/L
• Chevanie Peter Cunningham
• Peter E Oneill MD PC
• Marisa Louise Peters, LMSW
• Kirsten E Petersen, MA, CCC-SLP, TSLD,BE
• Glenn Austin Petraitis, PTA

• Dental Anesthesiology in Garden City, NY
• Providers in Garden City, NY by specialty
• Dental Anesthesiology in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.

Verify at the official NPI Registry.