Eleftherios Spilios Gavriil, D.D.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

053186 Issued in NY

Practice address

2306 24TH Ave
Astoria, NY 11102-2834

Phone

(917) 612-7908

NPI assigned

Mar 4, 2007

Last updated

Jul 3, 2011By 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

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

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: egavriil4740091@nychhc.direct-ci.com

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.

• Eleftherios S. Gavriil, DDS PC

  dba East River Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Astoria, NY
  • NPI 1497096168
  Authorized official Same address or phone

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309651200000",
    "number": "1992834212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 24TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022834",
            "telephone_number": "917-612-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 24TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022834",
            "telephone_number": "917-612-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVRIIL",
        "first_name": "ELEFTHERIOS",
        "middle_name": "SPILIOS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2011-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "053186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Gautreau, M.A., ED.M
• Jomina Lelieze Galandeynes Gauuan, R.N.
• Maureen Gavin
• Andrea Gavora, LCSW
• Irene S. Gavras-Petrakis, D.D.S.
• Abraham Gavriyelov, PA
• Olga Gazonas, D.C.
• GDP Optical Inc (Cohens Fashion Optical)
• Edsel O Geddes, R.PH
• James R Gelfand, DDS

• Oral and Maxillofacial Surgery (Dentist) in Astoria, NY
• Providers in Astoria, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.