Elionora M Sabzanov, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

048471 Issued in NY

Practice address

9120 Atlantic Ave
Ozone Park, NY 11416-1527

Phone

(171) 832-3989

Fax

(171) 854-4210

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: esabzanov3316@direct.medisys.org

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093722944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9120 ATLANTIC AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161527",
            "telephone_number": "171-832-3989",
            "fax_number": "171-854-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9120 ATLANTIC AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114161527",
            "telephone_number": "171-832-3989",
            "fax_number": "171-854-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABZANOV",
        "first_name": "ELIONORA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Rubin
• Isaak Rubinov
• Ligia Gemima Ruiz, RN
• Pamela Ruiz
• Rocio Lorena Ruiz
• Safe Medical Care, PLLC.
• Nafis Salcedo, RN
• Samsie Health Solutions, Inc.
• Dorinda Connie Samuels X, MD
• Alexandra Sanchez

• Dentist in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.