Active NPI
Genrich Shvarts, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1023029022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 047392
- Practice address
- 2071 2ND Ave
New York, NY 10029-4101 - Phone
- (212) 410-6969
- NPI assigned
- Aug 11, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 047392 | NY | Primary |
Addresses
Primary practice location
2071 2ND Ave
New York, NY 10029-4101
Mailing address
1270 E 19TH St
Apt. 2a
Brooklyn, NY 11230-5457
Phone (917) 291-0416
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DORAL12105 | Other | NY | 12105 |
| 01783706 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047392 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U Smile Dental LLC | General Practice | Current | Accepting new patients |
| Mery Max Dental PLLC | General Practice | Past | Accepting new patients |
| Maks Dental PLLC | General Practice | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Philadelphia, PA
- NPI 1700505542
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1689858508
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1497929616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023029022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 E 19TH ST",
"address_2": "APT. 2A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305457",
"telephone_number": "917-291-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2071 2ND AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100294101",
"telephone_number": "212-410-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHVARTS",
"first_name": "GENRICH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "047392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "12105",
"identifier": "DORAL12105",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01783706",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.