Individual provider Active NPI

Andriy Yuzvyak, DDS

  • Dentist
  • Jersey City, NJ
National Provider Identifier
1245919711
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
065043 Issued in NY
Practice address
33 University Place Blvd Apt 113
Jersey City, NJ 07305-4663
Phone
(718) 360-7182
NPI assigned
Jul 12, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 065043 NY Primary
Dentist 122300000X 22DI02995200 NJ
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

33 University Place Blvd Apt 113
Jersey City, NJ 07305-4663

Mailing address

33 University Place Blvd Apt 113
Jersey City, NJ 07305-4663
Phone (718) 360-7182

Other practice location 1

345 E 24th St
New York, NY 10010-4020
Phone (212) 998-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02995200NJMDDentist
065043NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Midnight Dental LLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

2766 John F Kennedy Blvd
Jersey City, NJ 07306
Phone (201) 433-0773

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1245919711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 UNIVERSITY PLACE BLVD APT 113",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054663",
            "telephone_number": "718-360-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 UNIVERSITY PLACE BLVD APT 113",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073054663",
            "telephone_number": "718-360-7182"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 E 24th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100104020",
            "country_code": "US",
            "telephone_number": "212-998-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUZVYAK",
        "first_name": "ANDRIY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "065043",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02995200",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.