Nataliya Gubenko, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046347 Issued in NY

Practice address

1810 Jerome Ave
2 ND Floor
Brooklyn, NY 11235-3621

Phone

(718) 615-2030

Fax

(718) 615-2030

NPI assigned

Jul 23, 2007

Last updated

Jul 23, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jerome Dental PC

  • Dental Clinic/Center
  • Brooklyn, NY
  • NPI 1487797338
  NPD (past) Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185148800000",
    "number": "1265632798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 JEROME AVE",
            "address_2": "2 ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353621",
            "telephone_number": "718-615-2030",
            "fax_number": "718-615-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 JEROME AVE",
            "address_2": "2 ND FLOOR",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353621",
            "telephone_number": "718-615-2030",
            "fax_number": "718-615-2030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBENKO",
        "first_name": "NATALIYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01663405",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uma Guarnaccia
• Carolina Guarrella, PA-C
• Joseph Anthony Guarrella, PHYSICIAN ASSISTANT
• Joselyn Carolina Guazhima Sanchez, LCSW
• Kay Talya Gubbay, MD
• Helena Guber, M.D.
• Ahava Guberman, MHC-LP
• Gitty Gubitz
• Malky Gubitz, MS CCC SLP
• Kara Lynn Gubner, LMHC

• 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 Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.