Active NPI
Rivka Abramova, DDS
- Periodontics
- Rego Park, NY
National Provider Identifier
1043044878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 06414801
- Practice address
- 6611 99TH St Ste 1E
Rego Park, NY 11374-4360 - Phone
- (718) 896-4240
- NPI assigned
- Aug 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 06414801 | NY | Primary |
Addresses
Primary practice location
6611 99TH St Ste 1E
Rego Park, NY 11374-4360
Mailing address
6611 99TH St Ste 1E
Rego Park, NY 11374-4360
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 |
|---|---|---|---|
| 06414801 | NY | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724630400000",
"number": "1043044878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6611 99TH ST STE 1E",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6611 99TH ST STE 1E",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113744360",
"telephone_number": "718-896-4240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMOVA",
"first_name": "RIVKA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-26",
"last_updated": "2024-08-26",
"certification_date": "2024-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "NY",
"license": "06414801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.