Ian Dennis Kosovsky, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI03041100 Issued in NJ

Practice address

5 Summit Ave Ste 104
Hackensack, NJ 07601-1271

Phone

(201) 489-9777

NPI assigned

Jul 8, 2024

Last updated

Jul 8, 2024By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1235975483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 67TH ST APT 6A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SUMMIT AVE STE 104",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011271",
            "telephone_number": "201-489-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSOVSKY",
        "first_name": "IAN",
        "middle_name": "DENNIS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI03041100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Lynn Koprivnikar, M.D.
• Rachel Korenblit
• Valeria Korshunova, MD
• Katerina Korunovski, FNP-C
• Dejan Koskoski, DPT
• Lahari Kota, MD
• Lisa Anne Kotler, MD
• Heidi Koukourdelis, RPH
• Lisa Marie Koumoulos, APN
• Ashley Kourgialis, PA-C

• General Practice Dentistry in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.