Organization Active NPI

Viraj V. Gadkar D.M.D. P.C.

  • Dentist
  • Roosevelt, NY
National Provider Identifier
1790027001
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054052 Issued in NY
Legal business name
VIRAJ V. GADKAR D.M.D. P.C.
Practice address
245 Nassau Rd
Roosevelt, NY 11575-1736
Phone
(516) 868-1892
NPI assigned
Mar 25, 2013
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Dr. Viraj V Gadkar, D.M.D.
Title
Owner/President
Phone
(516) 868-1892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 054052 NY Primary

Addresses

Primary practice location

245 Nassau Rd
Roosevelt, NY 11575-1736

Mailing address

5 Albergo LN
Syosset, NY 11791-3847
Phone (516) 729-6355

Other identifiers 1

IdentifierTypeStateIssuer
03026753MedicaidNY

National Provider Directory

National Provider Directory

Locations

245 Nassau Rd
Roosevelt, NY 11575
Phone (516) 868-1892

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1790027001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ALBERGO LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913847",
            "telephone_number": "516-729-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 NASSAU RD",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751736",
            "telephone_number": "516-868-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRAJ V. GADKAR D.M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "GADKAR",
        "authorized_official_first_name": "VIRAJ",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "516-868-1892",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "054052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03026753",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roosevelt, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.