Gabriel A Isioye, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

050241 Issued in NY

Practice address

3024 Kingsbridge Ave
Bronx, NY 10463-5121

Phone

(718) 543-4747

Fax

(718) 884-6137

NPI assigned

Nov 8, 2005

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Premier Family Dentistry PLLC

  dba Premier Family Dentistry

  • Dental Clinic/Center
  • Bronx, NY
  • NPI 1679932818
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1942281829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 KINGSBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635121",
            "telephone_number": "718-543-4747",
            "fax_number": "718-884-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 KINGSBRIDGE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635121",
            "telephone_number": "718-543-4747",
            "fax_number": "718-884-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISIOYE",
        "first_name": "GABRIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02419776",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ewaenosa Esohe Isidahome, MD
• Zenith Y Isidor Gabriel, MSW
• Guy Isidore, M.D.
• Marley Isidore
• Roselyn A. Isigi
• Fred Iskenderov
• Arsen Iskhakov, PHARM.D
• Elizabeth Ester Iskhakov
• Michael Iskhakov
• Nathaniel Iskhakov, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.