Active NPI
Michael Geylikman, D.D.S.
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1770602328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 050146
- Practice address
- 2415 Avenue U
Brooklyn, NY 11229-4905 - Phone
- (718) 646-6646
- NPI assigned
- Mar 28, 2007
- Last updated
- Sep 20, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02193502 | NJ | |
| General Practice Dentistry | 1223G0001X | 050146 | NY | Primary |
Addresses
Primary practice location
2415 Avenue U
Brooklyn, NY 11229-4905
Mailing address
2415 Avenue U
Brooklyn, NY 11229-4905
Phone (718) 646-6646
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
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02193502 | NJ | MD | General Practice Dentistry |
| 050146 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ave U Dental Health Care P.C. | General Practice | Past | Accepting new patients |
| MG Dental PC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1629334370
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1225209984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1770602328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294905",
"telephone_number": "718-646-6646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 AVENUE U",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112294905",
"telephone_number": "718-646-6646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEYLIKMAN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02193502",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "050146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.