Douglas Charles Garczynski, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

035570 Issued in NY

Practice address

16814 Jamaica Ave
Jamaica, NY 11432-5216

Phone

(718) 658-0123

Fax

(718) 658-1211

NPI assigned

May 1, 2007

Last updated

Jul 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Gertz Plaza Dental Associates, P.C.

  • General Practice Dentistry
  • Jamaica, NY
  • NPI 1265653968
  Authorized official Same address or phone

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1790906592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16814 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325216",
            "telephone_number": "718-658-0123",
            "fax_number": "718-658-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16814 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114325216",
            "telephone_number": "718-658-0123",
            "fax_number": "718-658-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCZYNSKI",
        "first_name": "DOUGLAS",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "035570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01001225",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Garcia
• Liliana Garcia
• Luis David Garcia, MD
• Yessenia Garcia
• Anne T Garcon
• Garden Health LLC
• Jessica Garofano
• Sadjada K Garraway-Paynes, LPN
• Sabrina Lakeshia Garrett, MSW
• Michael I Gartenhaus, D.P.M.

• Dentist in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.