Active NPI
Magdalena Goralczyk, DDS
- Endodontics
- Woodhaven, NY
National Provider Identifier
1891071056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 055832-1
- Practice address
- 8602 Forest Pkwy
Apt 2 J
Woodhaven, NY 11421-1125 - Phone
- (917) 952-5072
- NPI assigned
- Nov 1, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 055832-1 | NY | Primary |
Addresses
Primary practice location
8602 Forest Pkwy
Apt 2 J
Woodhaven, NY 11421-1125
Mailing address
86-02 Forest Pkwy
Apt 2 J
Woodhaven, NY 11421
Phone (917) 952-5072
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 |
|---|---|---|---|
| 055832-1 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1891071056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86-02 FOREST PKWY",
"address_2": "APT 2 J",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "11421",
"telephone_number": "917-952-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8602 FOREST PKWY",
"address_2": "APT 2 J",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114211125",
"telephone_number": "917-952-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORALCZYK",
"first_name": "MAGDALENA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-01",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "055832-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodhaven, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.