Individual provider Active NPI

Robert Gabrielli, DDS

  • Prosthodontics
  • New Hyde Park, NY
National Provider Identifier
1821250770
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
051102 Issued in NY
Practice address
700 Hillside Ave
Suite 5
New Hyde Park, NY 11040-2531
Phone
(516) 488-6688
Fax
(516) 488-6699
NPI assigned
Jul 1, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 051102 NY Primary

Addresses

Primary practice location

700 Hillside Ave
Suite 5
New Hyde Park, NY 11040-2531

Mailing address

700 Hillside Ave
Suite 5
New Hyde Park, NY 11040-2531
Phone (516) 488-6688

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
051102NYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Bimc Faculty 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1821250770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HILLSIDE AVE",
            "address_2": "SUITE 5",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402531",
            "telephone_number": "516-488-6688",
            "fax_number": "516-488-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HILLSIDE AVE",
            "address_2": "SUITE 5",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402531",
            "telephone_number": "516-488-6688",
            "fax_number": "516-488-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIELLI",
        "first_name": "ROBERT",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "051102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.