Active NPI
Sina Nazeri, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1013583848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 062484
- Practice address
- 177 Livingston St
Brooklyn, NY 11201-7000 - Phone
- (718) 855-7707
- NPI assigned
- Jun 2, 2021
- Last updated
- Apr 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 062484 | NY | Primary |
Addresses
Primary practice location
177 Livingston St
Brooklyn, NY 11201-7000
Mailing address
177 Livingston St Lowr Level
Brooklyn, NY 11201-7000
Phone (718) 855-7707
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Desktop |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Associations of New York State, Inc. | Current | Accepting new patients | |
| Metro Community Health Centers, Inc. | Current | Accepting new patients | |
| Metro Community Health Centers, Inc. | Current | Accepting new patients |
Locations
979 Cross Bronx Expy
Bronx, NY 10460
Phone 71866575653009
177 Livingston St
Lowr
Brooklyn, NY 11201
Phone (718) 855-7707
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGACBD/Endpoint/DGACBD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1841536554
-
- Federally Qualified Health Center (FQHC)
- New York, NY
- NPI 1649837113
-
dba Cerebral Palsy Assns.of NYS
- Clinic/Center
- Bronx, NY
- NPI 1366507758
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1013583848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 LIVINGSTON ST LOWR LEVEL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112017000",
"telephone_number": "718-855-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 LIVINGSTON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112017000",
"telephone_number": "718-855-7707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZERI",
"first_name": "SINA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-02",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "062484",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Desktop",
"affiliation": "N",
"address_1": "177 Livingston St",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112017000",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.