Individual provider Active NPI

Anatoly Bartov, D.M.D

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1093030645
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
055120 Issued in NY
Practice address
980 E12Th Street Suite #2
Brooklyn, NY 11230-3617
Phone
(917) 566-7912
NPI assigned
Apr 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 055120 NY Primary

Addresses

Primary practice location

980 E12Th Street Suite #2
Brooklyn, NY 11230-3617

Mailing address

1410 Avenue S Apt 5H
Brooklyn, NY 11229-3350
Phone (917) 566-7912

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
055120NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empire Dental Ny PC Dentist 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.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1093030645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 AVENUE S APT 5H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293350",
            "telephone_number": "917-566-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 E12TH STREET SUITE #2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303617",
            "telephone_number": "917-566-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOV",
        "first_name": "ANATOLY",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "055120",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 28, 2013; 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.