Active NPI
David A. Koslovsky, DDS, FACS
- Oral and Maxillofacial Surgery (Dentist)
- New York, NY
National Provider Identifier
1043487820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 054954
- Practice address
- 800B 5TH Ave Ste 1
New York, NY 10065-7277 - Phone
- (212) 888-4760
- Fax
- (212) 888-4710
- NPI assigned
- May 12, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 054954 | NY | Primary |
Addresses
Primary practice location
800B 5TH Ave Ste 1
New York, NY 10065-7277
Mailing address
800B 5TH Ave Ste 1
New York, NY 10065-7277
Phone (646) 734-3929
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054954 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- New York, NY
- NPI 1376756072
Oral and Maxillofacial Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1043487820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800B 5TH AVE STE 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657277",
"telephone_number": "646-734-3929",
"fax_number": "212-888-4710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800B 5TH AVE STE 1",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100657277",
"telephone_number": "212-888-4760",
"fax_number": "212-888-4710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSLOVSKY",
"first_name": "DAVID",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS, FACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-12",
"last_updated": "2024-04-04",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "NY",
"license": "054954",
"primary": true
}
],
"identifiers": [],
"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 Apr 4, 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.