Organization Active NPI

Dr Koslovsky DDS PC

  • Oral and Maxillofacial Surgery (Dentist)
  • New York, NY
National Provider Identifier
1093066581
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
054954 Issued in NY
Legal business name
DR KOSLOVSKY DDS PC
Practice address
800B 5TH Ave Ste 1
New York, NY 10065-7277
Phone
(212) 888-4760
Fax
(212) 888-4710
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
David Koslovsky, DDS, FACS
Title
Owner
Phone
(646) 734-3929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

800B 5th Ave
Ste 1
New York, NY 10065
Phone (212) 888-4760

800A 5th Ave
Ste 404
New York, NY 10065

622 W 168th St
#7
New York, NY 10032
Phone (212) 305-4552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1093066581",
    "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": {
        "organization_name": "DR KOSLOVSKY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2024-04-04",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "KOSLOVSKY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-734-3929",
        "authorized_official_credential": "DDS, FACS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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.

Verify at the official NPI Registry.