NPIMap

Organization Active NPI

Pediatric Dental Associates, PC

  • Pediatric Dentistry
  • Brooklyn, NY
National Provider Identifier
1225201460
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
047862 Issued in NY
Legal business name
PEDIATRIC DENTAL ASSOCIATES, PC
Practice address
2132 Ocean Ave
Brooklyn, NY 11229-1406
Phone
(718) 645-1588
Fax
(718) 376-2381
NPI assigned
Apr 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Elan Kaufman, DMDNPI 1427123975
Title
Director
Phone
(718) 645-1588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 047862 NY Primary

Addresses

Primary practice location

2132 Ocean Ave
Brooklyn, NY 11229-1406

Mailing address

2132 Ocean Ave
Brooklyn, NY 11229-1406
Phone (718) 645-1588

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1225201460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291406",
            "telephone_number": "718-645-1588",
            "fax_number": "718-376-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291406",
            "telephone_number": "718-645-1588",
            "fax_number": "718-376-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "ELAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-645-1588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "047862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.