Individual provider Active NPI

Gary M Scharoff, DDS

  • General Practice Dentistry
  • New Rochelle, NY
National Provider Identifier
1891831525
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0386251 Issued in NY
Practice address
1255 North Ave
A1H
New Rochelle, NY 10804-2605
Phone
(914) 632-6611
Fax
(914) 632-1736
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0386251 NY Primary

Addresses

Primary practice location

1255 North Ave
A1H
New Rochelle, NY 10804-2605

Mailing address

1255 North Ave
A1H
New Rochelle, NY 10804-2605
Phone (914) 632-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504001829 NY Order and Referring Only - DentistPractitioner - Dentist 5597064048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0386251NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891831525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 NORTH AVE",
            "address_2": "A1H",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042605",
            "telephone_number": "914-632-6611",
            "fax_number": "914-632-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 NORTH AVE",
            "address_2": "A1H",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108042605",
            "telephone_number": "914-632-6611",
            "fax_number": "914-632-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAROFF",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0386251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.