Natalia Blazhkevich, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

048909 Issued in NY

Practice address

1110 Pennsylvania Ave
Suite 3
Brooklyn, NY 11207-9061

Phone

(718) 649-6677

Fax

(718) 272-0291

NPI assigned

Oct 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ecodentalny

  • Dentist
  • Brooklyn, NY
  • NPI 1912496662
  NPD Authorized official
• Black Diamond Dental LLP

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1558533414
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1184613416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 215TH ST",
            "address_2": "APT 11J",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113602155",
            "telephone_number": "718-649-6677",
            "fax_number": "718-272-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA AVE",
            "address_2": "SUITE 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079061",
            "telephone_number": "718-649-6677",
            "fax_number": "718-272-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAZHKEVICH",
        "first_name": "NATALIA",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02108574",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Blaufarb, LCSW
• Aviva Blaustein, M.S., OTR/L
• Esther Miriam Blaustein
• Tova Blaustein, LBA
• Christopher Blay, MA
• Marina Blazhko, PHARM.D.
• Yelena Blazhko, RN
• Mary Brittin Bleakley, MSTOM
• Sophia Bleary
• Zereita Bleary, CFTSS

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.