Individual provider Active NPI

Gregory Kass, DDS

  • Periodontics
  • Suffern, NY
National Provider Identifier
1730633678
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
058752 Issued in NY
Practice address
7 Hemion Rd
Suffern, NY 10901-4919
Phone
(845) 357-3244
NPI assigned
Aug 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 058752 NY Primary
Periodontics 1223P0300X 22DI02649500 NJ

Addresses

Primary practice location

7 Hemion Rd
Suffern, NY 10901-4919

Mailing address

7 Hemion Rd
Suffern, NY 10901-4919
Phone (845) 896-5151

Other practice location 1

370 W Pleasantview Ave Ste 14A
Hackensack, NJ 07601-8004
Phone (201) 305-0903

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
I20161020002111 NY Order and Referring Only - DentistPractitioner - Dentist 7719265057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
058752NYMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1730633678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HEMION RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014919",
            "telephone_number": "845-896-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HEMION RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109014919",
            "telephone_number": "845-357-3244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "370 W Pleasantview Ave Ste 14A",
            "address_purpose": "LOCATION",
            "city": "Hackensack",
            "state": "NJ",
            "postal_code": "076018004",
            "country_code": "US",
            "telephone_number": "201-305-0903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASS",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "058752",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NJ",
            "license": "22DI02649500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

Verify at the official NPI Registry.