Individual provider Active NPI

Bruce Jeffrey Gitt, D.M.D.

  • Dentist
  • Long Beach, NY
National Provider Identifier
1871821900
Registry record updated Dec 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
040256 Issued in NY
Practice address
618 E Park Ave
Long Beach, NY 11561-2505
Phone
(516) 432-4334
Fax
(516) 208-5328
NPI assigned
Dec 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 040256 NY Primary

Addresses

Primary practice location

618 E Park Ave
Long Beach, NY 11561-2505

Mailing address

618 E Park Ave
Long Beach, NY 11561-2505
Phone (516) 432-4334

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

LicenseStateTypeSpecialty
040256NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1871821900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612505",
            "telephone_number": "516-432-4334",
            "fax_number": "516-208-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612505",
            "telephone_number": "516-432-4334",
            "fax_number": "516-208-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITT",
        "first_name": "BRUCE",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-01",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "040256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, NY

Sources for this page

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