Active NPI
Zoya Yadgarov, DDS
- General Practice Dentistry
- New York, NY
National Provider Identifier
1164563300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 052161-1
- Practice address
- 12 East 41 Street Suite 1002
New York, NY 10017 - Phone
- (212) 535-3226
- Fax
- (212) 683-2577
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 052161-1 | NY | Primary |
Addresses
Primary practice location
12 East 41 Street Suite 1002
New York, NY 10017
Mailing address
73-24 172 Street
Fresh Meadows, NY 11366
Phone (718) 344-7848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02842157 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 052161-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Art of Dentistry PC | Current | Accepting new patients |
Locations
12 E 41st St
Ste 1002
New York, NY 10017
Phone (212) 535-3226
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.
-
- Dentist
- Lynbrook, NY
- NPI 1003251414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406505600000",
"number": "1164563300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73-24 172 STREET",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "11366",
"telephone_number": "718-344-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 EAST 41 STREET SUITE 1002",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "212-535-3226",
"fax_number": "212-683-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YADGAROV",
"first_name": "ZOYA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2014-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "052161-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02842157",
"state": "NY"
}
],
"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 Jul 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.