Active NPI
Viraj V. Gadkar D.M.D. P.C.
- Dentist
- Roosevelt, NY
National Provider Identifier
1790027001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 054052
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03026753 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Roosevelt, NY
- NPI 1295154565
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.