Ibrahim Mostafa Ghobashy, DENTAL DEGREE DDS

Primary specialty

DentistTaxonomy code 122300000X

License

031384 Issued in NY

Practice address

357 Broadway
Ste 2E
Amityville, NY 11701-2748

Phone

(631) 789-7900

NPI assigned

Aug 2, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fordham Road Dental PC

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1306050869
  NPD (past)

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375401600000",
    "number": "1922430875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "967 ASYLUM AVE",
            "address_2": "4L",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052435",
            "telephone_number": "860-249-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 BROADWAY",
            "address_2": "STE 2E",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012748",
            "telephone_number": "631-789-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOBASHY",
        "first_name": "IBRAHIM",
        "middle_name": "MOSTAFA",
        "name_prefix": "Dr.",
        "credential": "DENTAL DEGREE DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "031384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denae Gatling
• Edison Genaro Gavilanes, MD
• Geetha Balamurugan,D.D.S.,P.C.
• Shine George
• Waheed U Ghauri, RPH
• Piya Ghoshal, M.D.
• Nicole Marie Gianotti, DPT
• Raoul Gilles
• Myriam Gillis
• David Eric Glaser, D.P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; 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.