NPIMap

Organization Active NPI

Ocean-Side Dental P.C.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1104352012
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
049909-1 Issued in NY
Legal business name
OCEAN-SIDE DENTAL P.C.
Practice address
3260 Coney Island Ave
Unit A4
Brooklyn, NY 11235-6643
Phone
(718) 891-0021
Fax
(718) 891-4946
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Irina Goncharuk, DDS
Title
Prisident
Phone
(718) 908-0464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 049909-1 NY Primary

Addresses

Primary practice location

3260 Coney Island Ave
Unit A4
Brooklyn, NY 11235-6643

Mailing address

3260 Coney Island Ave
Unit A4
Brooklyn, NY 11235-6643
Phone (718) 891-0021

National Provider Directory

National Provider Directory

Locations

3260 Coney Island Ave
Apt A4
Brooklyn, NY 11235
Phone (718) 891-0021

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1104352012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 CONEY ISLAND AVE",
            "address_2": "UNIT A4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356643",
            "telephone_number": "718-891-0021",
            "fax_number": "718-891-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 CONEY ISLAND AVE",
            "address_2": "UNIT A4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356643",
            "telephone_number": "718-891-0021",
            "fax_number": "718-891-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN-SIDE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GONCHARUK",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRISIDENT",
        "authorized_official_telephone_number": "718-908-0464",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049909-1",
            "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 11, 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.