Gary Paul Orentlicher, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

039025 Issued in NY

Practice address

495 Central Park Ave
Suite 201
Scarsdale, NY 10583-1068

Phone

(914) 472-0100

Fax

(914) 472-1563

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 25, 2021 through Jan 25, 2027

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 and National Provider Directory roles.

• New York Oral Maxillofacial and Implant Surgery P.C.

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Scarsdale, NY
  • NPI 1124327135
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1992864151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE",
            "address_2": "SUITE 201",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831068",
            "telephone_number": "914-472-0100",
            "fax_number": "914-472-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 CENTRAL PARK AVE",
            "address_2": "SUITE 201",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105831068",
            "telephone_number": "914-472-0100",
            "fax_number": "914-472-1563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORENTLICHER",
        "first_name": "GARY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "039025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00285089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• On the Move Physical Therapy
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• Melvyn Neil Oppenheim, DMD
• Optics by MBM Inc
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• Peter Damian Osmanski, D.P.M.
• Valarie Overton, MD
• Shunzo Ozawa, DDS
• Jennifer Ozer

• Oral and Maxillofacial Surgery (Dentist) in Scarsdale, NY
• Providers in Scarsdale, 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 Nov 18, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.