Individual provider Active NPI

Alexandra Delfiner, DDS

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1043635956
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
058527 Issued in NY
Practice address
5906 7TH Ave
Brooklyn, NY 11220-4121
Phone
(718) 576-3564
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 058527 NY
Pediatric Dentistry 1223P0221X 058527 NY Primary

Addresses

Primary practice location

5906 7TH Ave
Brooklyn, NY 11220-4121

Mailing address

4425 Douglas Ave
Bronx, NY 10471-3513
Phone (917) 882-3972

Other identifiers 1

IdentifierTypeStateIssuer
04643216MedicaidNY

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

LicenseStateTypeSpecialty
058527NYMDPediatric Dentist

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1043635956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 DOUGLAS AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713513",
            "telephone_number": "917-882-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5906 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204121",
            "telephone_number": "718-576-3564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELFINER",
        "first_name": "ALEXANDRA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058527",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "058527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04643216",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "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 May 3, 2017; 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.