Individual provider Active NPI

Michael Louis Steinberg, D.D.S.

  • General Practice Dentistry
  • Glendale, NY
National Provider Identifier
1720142011
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
041286 Issued in NY
Practice address
8340 Woodhaven Blvd
Glendale, NY 11385-7824
Phone
(718) 850-4368
Fax
(718) 701-6712
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 041286 NY
General Practice Dentistry 1223G0001X 041286 NY Primary

Addresses

Primary practice location

8340 Woodhaven Blvd
Glendale, NY 11385-7824

Mailing address

2649 E 65TH St
Brooklyn, NY 11234-6823
Phone (917) 952-7185

Other practice location 1

2614 Avenue U
Brooklyn, NY 11229-5010
Phone (718) 743-6680

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20181011001261 NY Practitioner - Dentist 1759693682 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041286NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emusc, LLC CurrentSince Oct 1, 2018 Accepting new patients
J. Gharda Dental P.L.L.C. General Practice Past Accepting new patients

Locations

8340 Woodhaven Blvd
Glendale, NY 11385
Phone (718) 441-0101

Organizations & group practices 2

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1720142011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 E 65TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346823",
            "telephone_number": "917-952-7185",
            "fax_number": "718-968-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 WOODHAVEN BLVD",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857824",
            "telephone_number": "718-850-4368",
            "fax_number": "718-701-6712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2614 Avenue U",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112295010",
            "country_code": "US",
            "telephone_number": "718-743-6680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEINBERG",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041286",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

Verify at the official NPI Registry.