Gary Herskovits, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

36187 Issued in NY

Practice address

9412 4TH Ave
Brooklyn, NY 11209

Phone

(718) 745-3456

NPI assigned

Nov 28, 2006

Last updated

Feb 16, 2015By 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

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

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.

• Brooklyn Smile Dental Health Services

  • Dentist
  • Brooklyn, NY
  • NPI 1205229044
  NPD (past) Authorized official
• Gentle Dental Care

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1700944428
  NPD (past) Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1942376389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-745-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11209",
            "telephone_number": "718-745-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSKOVITS",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "36187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00671150",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raquela Hersko, BSN
• Joseph Herskovic
• Michael Herskovics, PH.D.
• Yedidyah Sinai Herskovics, LMSW
• Adam Joshua Herskovits, DDS
• Susan Herskovits, MS,CCC-SLP
• Esther Herskovitz
• Miriam Tehilla Herskovitz, LMSW
• Annie Herskowitz
• David Herskowitz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.