Alexander Joseph Pilavsky, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052167 Issued in NY

Practice address

810 2ND Ave
C/O Illustradent
New York, NY 10017-4502

Phone

(212) 480-2111

NPI assigned

May 5, 2007

Last updated

Jun 5, 2008By the provider in NPPES

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illustradent Eastside Dental Services, PLLC

  • General Practice Dentistry
  • New York, NY
  • NPI 1942463609
  NPD (past) Authorized official

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1164634549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 64TH ST",
            "address_2": "APARTMENT 10C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100217426",
            "telephone_number": "917-375-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 2ND AVE",
            "address_2": "C/O ILLUSTRADENT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174502",
            "telephone_number": "212-480-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILAVSKY",
        "first_name": "ALEXANDER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pilars of Development Inc
• Piotr Pawel Pilarski, M.D.
• Tara Pilato, MD
• Iwona Pilatowicz
• Kristal Pilavas, MS, RD, CDN, CDCES
• Grace C Pilcer, PH.D.
• Magdalena Pilch, RPH
• Stephen Pilch, R.R.A., R.T. (R)
• Joshua Ross Pilchik, PSY.D.
• Ilana Pilcz

• General Practice Dentistry in New York, NY
• Providers in New York, 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 Jun 5, 2008; 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.