Gallery 57 Dental
NPI 1760763148ActiveOrganization· Dentist, Prosthodontics· New York, NY
Dentist, Prosthodontics in New York, New York, registered in NPPES in August 2011. The authorized official on file is Mason Kostinsky, Chief Operating Officer.
Overview
| NPI | 1760763148 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2011 |
| Last updated in NPPES | Aug 30, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Prosthodontics Primary | 1223P0700X | 035303 | NY |
| Dentist, General Practice | 1223G0001X | 033746 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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