Bay Parkway All Types of Dentistry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045032 Issued in NY

Legal business name

BAY PARKWAY ALL TYPES OF DENTISTRY PC

Practice address

2211 A 65 Street
Brooklyn, NY 11204

Phone

(718) 236-4422

Fax

(718) 236-6730

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Alexander V Andreyeff

Title

President

Phone

(718) 236-4422

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154540599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 A 65 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-236-4422",
            "fax_number": "718-236-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 A 65 STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11204",
            "telephone_number": "718-236-4422",
            "fax_number": "718-236-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY PARKWAY ALL TYPES OF DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREYEFF",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-236-4422"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01485794",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bay Park Medical, PC
• Bay Park One Medical, PC
• Bay Park Pharmacy Corp.
• Bay Park Pharmacy Corp.
• Bay Parkway Adult Day Care, Inc.
• Bay Parkway Anesthesia Services PLLC
• Bay Parkway Dental Associates
• Bay Parkway Medical PC
• Bay Parkway Optical Corp
• Bay Parkway Optical Corp

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.