Anna Gasparova

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051602 Issued in NY

Practice address

1502 E 14TH St
Brooklyn, NY 11230-7148

Phone

(718) 376-6006

Fax

(718) 376-7339

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1801975743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 E 69TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345714",
            "telephone_number": "917-589-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307148",
            "telephone_number": "718-376-6006",
            "fax_number": "718-376-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPAROVA",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID",
            "identifier": "20-1817596",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02576603",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9178346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernice Gaspard, LMSW
• Jean-Charles Gaspard, ANP-BC
• Rachelle E Gaspard
• Stephanie Gaspari, LPC, NCC
• Christina M Gasparini, MSW
• Lilit Gasparyan, MD
• Svetlana Gasparyan, M.D.
• Burton Gass, DPM
• Amie Gassama
• Sharyce Gassant

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.