Individual provider Active NPI

Semjor Gerzon, DDS

  • General Practice Dentistry
  • Rego Park, NY
National Provider Identifier
1750465233
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0380021 Issued in NY
Practice address
65-36 99 Street
Rego Park, NY 11374-4358
Phone
(718) 897-4278
Fax
(718) 886-5328
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0380021 NY Primary

Addresses

Primary practice location

65-36 99 Street
Rego Park, NY 11374-4358

Mailing address

65-36 99 Street
Rego Park, NY 11374-4358
Phone (718) 897-4278

Other identifiers 1

IdentifierTypeStateIssuer
00799519MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0380021NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750465233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-36 99 STREET",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744358",
            "telephone_number": "718-897-4278",
            "fax_number": "718-886-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-36 99 STREET",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744358",
            "telephone_number": "718-897-4278",
            "fax_number": "718-886-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERZON",
        "first_name": "SEMJOR",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0380021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00799519",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.