Victoria Edelstein, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045440 Issued in NY

Practice address

2568 E 17TH St Ste 2
Brooklyn, NY 11235-3557

Phone

(212) 297-0357

Fax

(718) 891-0670

NPI assigned

Feb 2, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642809600000",
    "number": "1003954843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2568 E 17TH ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353557",
            "telephone_number": "212-297-0357",
            "fax_number": "718-891-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2568 E 17TH ST STE 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353557",
            "telephone_number": "212-297-0357",
            "fax_number": "718-891-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELSTEIN",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01524309",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcus S Edelstein, M.D., PH.D.
• Monica D Edelstein
• Ronald Edelstein, R.PH.
• Seymour Leonard Edelstein, M.D.
• Sima A Edelstein
• Yudell Edelstein, M.D.
• Josephine Mfon Edem, NP
• Ovakporayin Edemirukaye, MD
• Eden Home Care Services Inc
• Eden Medical, P.C.

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.