DR. RANDY GULKIS (NPI# 1104103340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104103340 |
| Entity Type | Individual |
| Full Name | DR. RANDY GULKIS |
| Credential | D.D.S. |
| Practice Address |
15 1st St Staten Island NY 10306-2201 |
| Practice Telephone | 7189875000 |
| Practice Fax Number | 7189872879 |
| Mailing Telephone | 7189875000 |
| Mailing Fax Number | 7189872879 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | NY35355 | NY | Dental Providers |
| Street Address |
15 1ST ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-2201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1356847297 | Mina Farid | Dentist | 12 Yucca Dr, Staten Island, NY 10312-1634 | 2018-03-31 |
| 1760935167 | Joseph Anthony Giovinazzo | Dentist | 247 Richmond Hill Rd, Staten Island, NY 10314-5904 | 2016-08-02 |
| 1508228131 | Mark Genco | Dentist | 418 Saint Marks Pl, Staten Island, NY 10301-2434 | 2016-03-23 |
| 1336553536 | Ishtjot Saini | Dentist | 211 Richmond Hill Rd Ste 2b, Staten Island, NY 10314-5905 | 2014-06-16 |
| 1508279506 | Ryan Barrett | Dentist | 59 Reading Ave, Staten Island, NY 10312-2043 | 2014-06-06 |
| 1023449196 | Barry Mandell | Dentist | 104 Russek Dr, Staten Island, NY 10312-1630 | 2013-11-27 |
| 1447690136 | Om G Chainani | Dentist | 205 Port Richmond Ave, Staten Island, NY 10302-1311 | 2013-06-27 |
| 1821435223 | Andrea P Divernieri | Dentist | 22 Hilltop Ter, Staten Island, NY 10304-1109 | 2013-05-27 |
| 1952602740 | Yelena Khrapko Dds,pc | Dentist | 1975 Hylan Blvd Ste 2, Staten Island, NY 10306-3523 | 2010-11-10 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.