Abraham Ancselovics, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

041619 Issued in NY

Practice address

1407 Avenue P
Brooklyn, NY 11229-1109

Phone

(718) 998-4747

Fax

(718) 998-5736

NPI assigned

Jul 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Brooklyn Endodontics PLLC

  • Endodontics
  • Brooklyn, NY
  • NPI 1659037372
  NPD Authorized official

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225067309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291109",
            "telephone_number": "718-998-4747",
            "fax_number": "718-998-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 AVENUE P",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291109",
            "telephone_number": "718-998-4747",
            "fax_number": "718-998-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCSELOVICS",
        "first_name": "ABRAHAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "041619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Herold Ancion, M.D.
• Gleen Bautista Anciro, PT,DPT
• Ancona Eyecare Inc
• Robert J Ancona, O.D.
• Melsha Ancrum
• Iman Andalib, M.D.
• Sandra S Andall
• Heidy Andarcio
• Charusheela Andaz, M.D.,FACS
• Erich Gen Anderer, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.