Mordehai Ahdut, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046828 Issued in NY

Practice address

4205 Avenue P
Brooklyn, NY 11234-3519

Phone

(718) 338-5700

NPI assigned

Aug 29, 2006

Last updated

Feb 1, 2019By 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

Other identifiers 1

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

State licenses

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.

• Mordehai Ahdut DDS PC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1891250007
  NPD (past) Authorized official

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1205945946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343519",
            "telephone_number": "718-338-5700",
            "fax_number": "718-258-8726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112343519",
            "telephone_number": "718-338-5700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 AVE I",
            "address_purpose": "LOCATION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11210",
            "country_code": "US",
            "telephone_number": "718-258-8884",
            "fax_number": "718-258-8726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1532 Flatbush Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112102427",
            "country_code": "US",
            "telephone_number": "718-434-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHDUT",
        "first_name": "MORDEHAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01778798",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahava Medical of Brooklyn PC
• Ahava Nostrand
• Edmond Ahdoot
• Erica Ahdoot, LCSW
• Benjamin Ahdut, D.D.S.
• Sean Michael Ahearn, PA-C
• Irene Marfo Ahenkora
• Joan-Mary Ahern-Sammon, LCSW
• Larysa Aheyeva, DO
• Ahfk Optical Inc. (Optic Designs)

• 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 Feb 1, 2019; 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.