Individual provider Active NPI

Wilfred Heilbut, DMD

  • Dentist
  • New York, NY
National Provider Identifier
1952651945
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
028351 Issued in NY
Practice address
59 E 54TH St
Suite 43
New York, NY 10022-4211
Phone
(212) 753-3117
Fax
(212) 644-7092
NPI assigned
Sep 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 028351 NY Primary

Addresses

Primary practice location

59 E 54TH St
Suite 43
New York, NY 10022-4211

Mailing address

59 E 54TH St
Suite 43
New York, NY 10022-4211
Phone (212) 753-3117

Other identifiers 1

IdentifierTypeStateIssuer
028351OtherNYSTATE LICENCE

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
I20150423000511 NY Order and Referring Only - DentistPractitioner - Dentist 9436477478

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1952651945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST",
            "address_2": "SUITE 43",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224211",
            "telephone_number": "212-753-3117",
            "fax_number": "212-644-7092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E 54TH ST",
            "address_2": "SUITE 43",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224211",
            "telephone_number": "212-753-3117",
            "fax_number": "212-644-7092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILBUT",
        "first_name": "WILFRED",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "028351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "028351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.