Svetlana Konstantinova, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02322000 Issued in NJ

Practice address

707 Elizabeth Ave
Elizabeth, NJ 07201-2806

Phone

(908) 354-1500

NPI assigned

May 21, 2007

Sex

Female

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

Enrolled in NJ

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

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.

• B & K Family Dental, LLC

  • Dental Clinic/Center
  • Elizabeth, NJ
  • NPI 1083897375
  NPD (past) Authorized official

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1003025503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012806",
            "telephone_number": "908-354-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 ELIZABETH AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012806",
            "telephone_number": "908-354-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONSTANTINOVA",
        "first_name": "SVETLANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02322000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136051",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lori Klotzkin, LCSW
• Sonya Knuettel-Ripley, LCSW
• Robert Kogan, M.D.
• Ruth Kolb, SLP CCC
• Nariman Konjkavfard, MD
• Murali Krishna Kothuri
• Andrea Krasno, NP
• Kratos Rehabilitation LLC
• Krishaans Pharmacy Inc
• Vicmary A. Kritharis, D.M.D

• General Practice Dentistry in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.