Up Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

038032 Issued in NY

Legal business name

UP DENTAL PLLC

Practice address

1502 E 14TH St
Brooklyn, NY 11230-7283

Phone

(718) 709-4611

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Nadia PoustovoitNPI 1831117860

Title

Owner

Phone

(718) 709-4611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

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

• Nadia Poustovoit, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1831117860
  Medicare reassignment NPD Authorized official
• Gennady Dranovsky, DDS

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1639393754
  Medicare reassignment NPD
• Avraham Kolontarov

  • Public Health Dentistry
  • Brooklyn, NY
  • NPI 1336763614
  Medicare reassignment NPD
• Leonid Umansky, DENTIST DDS

  • Dentist
  • Brooklyn, NY
  • NPI 1861483588
  NPD (past)

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1225290547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 BRIGHTON 3RD ST STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357078",
            "telephone_number": "718-975-4334",
            "fax_number": "718-975-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112307283",
            "telephone_number": "718-709-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2499 Ocean Avenue",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11229",
            "country_code": "US",
            "telephone_number": "718-743-9000",
            "fax_number": "718-743-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UP DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "POUSTOVOIT",
        "authorized_official_first_name": "NADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-709-4611"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "038032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Christopher Unson
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• Nihar Upadhyay
• Upbeat Adult Day Care Inc.
• Sarah Updegraff, MPH, CRNP
• Uplifting Hearts Counseling
• Ishtpreet Kaur Uppal, M.D.

• 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 Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.