Active NPI
George Sarandev, DDS
- General Practice Dentistry
- Au Sable Forks, NY
National Provider Identifier
1801056908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 054556
- Practice address
- 30 North Main Street
Au Sable Forks, NY 12912 - Phone
- (518) 647-5150
- Fax
- (518) 647-4532
- NPI assigned
- Jun 11, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 054556 | NY | Primary |
Addresses
Primary practice location
30 North Main Street
Au Sable Forks, NY 12912
Mailing address
PO Box 775
Au Sable Forks, NY 12912-0775
Phone (518) 647-5150
Other practice location 1
36 Thomas Indian School Dr
Irving, NY 14081-9300
Phone (716) 532-5582
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 |
|---|---|---|---|
| 054556 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George P. Najim DDS PC | General Practice | 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.
-
- General Practice Dentistry
- Ausable Forks, NY
- NPI 1225236680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801056908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 775",
"city": "AU SABLE FORKS",
"state": "NY",
"postal_code": "129120775",
"telephone_number": "518-647-5150",
"fax_number": "518-647-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NORTH MAIN STREET",
"city": "AU SABLE FORKS",
"state": "NY",
"postal_code": "12912",
"telephone_number": "518-647-5150",
"fax_number": "518-647-4532"
}
],
"practiceLocations": [
{
"address_1": "36 Thomas Indian School Dr",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "NY",
"postal_code": "140819300",
"country_code": "US",
"telephone_number": "716-532-5582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SARANDEV",
"first_name": "GEORGE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "054556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Au Sable Forks, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.