Individual provider Active NPI

Paul W Galitsis, DMD

  • Prosthodontics
  • Westwood, NJ
National Provider Identifier
1780781112
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI01578200 Issued in NJ
Practice address
345 Kinderkamack Rd Ste D
Westwood, NJ 07675-1600
Phone
(201) 664-0767
Fax
(201) 664-2334
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

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
Prosthodontics 1223P0700X 22DI01578200 NJ Primary

Addresses

Primary practice location

345 Kinderkamack Rd Ste D
Westwood, NJ 07675-1600

Mailing address

345 Kinderkamack Rd
Suite D
Westwood, NJ 07675
Phone (201) 664-0767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160721000072 NJ Order and Referring Only - DentistPractitioner - Dentist 6800189309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22DI01578200NJMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Galitsis and Bovino Prosthodontics Past Accepting new patients

Organizations & group practices 1

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780781112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 KINDERKAMACK RD",
            "address_2": "SUITE D",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "07675",
            "telephone_number": "201-664-0767",
            "fax_number": "201-664-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KINDERKAMACK RD STE D",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751600",
            "telephone_number": "201-664-0767",
            "fax_number": "201-664-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALITSIS",
        "first_name": "PAUL",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI01578200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.