Michael Gitlin, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

041069 Issued in NY

Practice address

4250 Hempstead Tpke
Suite 4
Bethpage, NY 11714-5711

Phone

(516) 579-8950

Fax

(516) 579-0092

NPI assigned

Jan 23, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vatrenko Gitlin Dental Offices PC

  • Dentist
  • Brooklyn, NY
  • NPI 1093941361
  NPD Authorized official
• Vatrenko Gitlin Dental Offices PC

  • Customized Equipment (DME)
  • New York, NY
  • NPI 1366075939
  NPD Authorized official
• Michael Gitlin DDS P.C.

  dba Gitlin Dental Group

  • Dentist
  • Bethpage, NY
  • NPI 1053857532
  Authorized official Same address or phone
• Michael Gitlin DDS PC

  • General Practice Dentistry
  • Bethpage, NY
  • NPI 1154691541
  Authorized official Same address or phone

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912051236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUITE 4",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145711",
            "telephone_number": "516-579-8950",
            "fax_number": "516-579-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 HEMPSTEAD TPKE",
            "address_2": "SUITE 4",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145711",
            "telephone_number": "516-579-8950",
            "fax_number": "516-579-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITLIN",
        "first_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "041069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01044408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Giambertone, RDN
• Michael Gilde
• Nanette Nicotra Gingo, LCSW
• Nanette Girolamo, SLP
• Ariel Gitlin, DDS
• Joanne Glaski
• Aaron E Glatt, MD
• Kyle Globuschutz, DPT
• Philip Maitland Godfrey, M.D., D.M.D.
• Janet Goldstein, M.D.

• Dentist in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.