Active NPI
Michael Gelfand, DDS
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1962445957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 051441
- Practice address
- 2937 Avenue V
Brooklyn, NY 11229-5247 - Phone
- (718) 332-4060
- Fax
- (718) 676-0228
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 051441 | NY | Primary |
Addresses
Primary practice location
2937 Avenue V
Brooklyn, NY 11229-5247
Mailing address
3029 Avenue V
Brooklyn, NY 11229
Phone (718) 513-1496
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02638728 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160310000980 | NY | Order and Referring Only - Dentist | 1355647710 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051441 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sig Dental Group PLLC | General Practice | Current | Accepting new patients |
| 1985 Dental Group, PLLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Brooklyn, NY
- NPI 1447109137
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1659144798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1962445957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 AVENUE V",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-513-1496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2937 AVENUE V",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112295247",
"telephone_number": "718-332-4060",
"fax_number": "718-676-0228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELFAND",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2023-11-08",
"certification_date": "2022-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "051441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02638728",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.