Individual provider Active NPI

Monika Kurzatkowski, D.M.D.

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1124434931
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
058112 Issued in NY
Practice address
50 Park Ave Ste 1G
New York, NY 10016-3075
Phone
(646) 344-5190
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 058112 NY Primary

Addresses

Primary practice location

50 Park Ave Ste 1G
New York, NY 10016-3075

Mailing address

6062 69TH PL
Maspeth, NY 11378-2942

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
058112NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle Touch Dental, P.C. CurrentSince Oct 19, 2020 Accepting new patients

Locations

50 Park Ave
Apt 1G
New York, NY 10016
Phone (212) 251-0030

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1124434931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6062 69TH PL",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 PARK AVE STE 1G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163075",
            "telephone_number": "646-344-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZATKOWSKI",
        "first_name": "MONIKA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058112",
            "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 Oct 12, 2020; 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.