Organization Active NPI

Q Dental PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1255459764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
Q DENTAL PC
Practice address
1460 W 5TH St
Suite M2
Brooklyn, NY 11204-4071
Phone
(718) 621-9000
Fax
(718) 621-0358
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Lyubov Libman, DDSNPI 1487659785
Title
Dentist
Phone
(718) 621-9000

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X NY Primary

Addresses

Primary practice location

1460 W 5TH St
Suite M2
Brooklyn, NY 11204-4071

Mailing address

1460 W 5TH St
Suite M2
Brooklyn, NY 11204-4071
Phone (718) 621-9000

Other identifiers 1

IdentifierTypeStateIssuer
02517595MedicaidNY

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255459764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 W 5TH ST",
            "address_2": "SUITE M2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044071",
            "telephone_number": "718-621-9000",
            "fax_number": "718-621-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 W 5TH ST",
            "address_2": "SUITE M2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044071",
            "telephone_number": "718-621-9000",
            "fax_number": "718-621-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Q DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIBMAN",
        "authorized_official_first_name": "LYUBOV",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-621-9000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02517595",
            "state": "NY"
        }
    ],
    "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 Aug 22, 2020; 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.