Michael Nosov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

154124 Issued in NY

Practice address

3305 Jerusalem Ave
Suite 106
Wantagh, NY 11793-2028

Phone

(716) 628-4971

NPI assigned

Oct 28, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mikhail Nosov Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1023261682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 83RD ST",
            "address_2": "APT 1C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112142661",
            "telephone_number": "716-628-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 JERUSALEM AVE",
            "address_2": "SUITE 106",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932028",
            "telephone_number": "716-628-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSOV",
        "first_name": "MICHAEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "154124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKHAIL",
            "last_name": "NOSOV",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• North Shore Medical Group of the Mount Sinai School of Medicine
• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Olena Nosaryeva, RN
• Nosov Family Dental PC
• Julia Nosov, DDS
• Nova Family Health NP, PC
• Jeffrey S. Novak, M.D.
• Danielle Nuccio, MS, CCC-SLP, TSHH
• Emily Frances Nugent, MS SLP CCC TSSLD
• Gabriel Nunez, MHC-LP

• Dentist in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.