Individual provider Active NPI

Iosif Uvaydov

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1235122490
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044283 Issued in NY
Practice address
2101 Kings Hwy
Brooklyn, NY 11229-1509
Phone
(718) 951-2261
Fax
(718) 951-2018
NPI assigned
Aug 23, 2005
Last updated
Apr 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044283 NY Primary

Addresses

Primary practice location

2101 Kings Hwy
Brooklyn, NY 11229-1509

Mailing address

2101 Kings Hwy
Brooklyn, NY 11229-1509
Phone (718) 951-2261

Other identifiers 1

IdentifierTypeStateIssuer
01380978MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150713001073 NY Order and Referring Only - DentistPractitioner - Dentist 9436461910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iosif Uvaydov D.D.S P.C. Past Accepting new patients
Midcity Dental Group Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334880000000",
    "number": "1235122490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291509",
            "telephone_number": "718-951-2261",
            "fax_number": "718-951-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 KINGS HWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291509",
            "telephone_number": "718-951-2261",
            "fax_number": "718-951-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UVAYDOV",
        "first_name": "IOSIF",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2012-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01380978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.