Individual provider Active NPI

Olga Gelfand, DDS

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1750370979
Registry record updated Oct 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048409 Issued in NY
Practice address
2101 Kingsway PL
Brooklyn, NY 11234-1017
Phone
(718) 951-2261
Fax
(718) 951-2018
NPI assigned
Oct 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 048409 NY Primary

Addresses

Primary practice location

2101 Kingsway PL
Brooklyn, NY 11234-1017

Mailing address

2101 Kings Hwy
Brooklyn, NY 11229-1229
Phone (718) 951-2261

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
I20160711002257 NY Order and Referring Only - DentistPractitioner - Dentist 1658663778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
048409NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Midcity Dental Group Past Accepting new patients
Iosif Uvaydov D.D.S P.C. Past Accepting new patients

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1750370979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291229",
            "telephone_number": "718-951-2261",
            "fax_number": "718-951-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 KINGSWAY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112341017",
            "telephone_number": "718-951-2261",
            "fax_number": "718-951-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELFAND",
        "first_name": "OLGA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.