Individual provider Active NPI

Gregory Oselkin, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1952457848
Registry record updated Jun 14, 2013
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
033389 Issued in NY
Practice address
354 E 116TH St
New York, NY 10029-1538
Phone
(212) 996-0900
Fax
(212) 996-0901
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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 033389 NY Primary

Addresses

Primary practice location

354 E 116TH St
New York, NY 10029-1538

Mailing address

354 E 116TH St
New York, NY 10029-1538
Phone (212) 996-0900

Other identifiers 1

IdentifierTypeStateIssuer
00293196MedicaidNY

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
I20160420000297 NY Order and Referring Only - DentistPractitioner - Dentist 4082912340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1952457848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291538",
            "telephone_number": "212-996-0900",
            "fax_number": "212-996-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 E 116TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100291538",
            "telephone_number": "212-996-0900",
            "fax_number": "212-996-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSELKIN",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "033389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00293196",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.