Individual provider Active NPI

Jared E Stavsky, DMD

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1285224592
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
062609 Issued in NY
Practice address
265 Madison Ave FL 3
New York, NY 10016-0971
Phone
(212) 768-7422
NPI assigned
Jan 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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 062609 NY Primary

Addresses

Primary practice location

265 Madison Ave FL 3
New York, NY 10016-0971

Mailing address

265 Madison Ave FL 3
New York, NY 10016-0971
Phone (614) 378-0937

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
I20251211003815 NY Practitioner - Dentist 0749774628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dentist
Education
Rutgers School of Dental Medicine, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

265 Madison Ave
FL 3
New York, NY 10016-0971
Phone (614) 378-0937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
062609NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
New York Sleep Solutions LLC General Practice CurrentSince Nov 4, 2025 Accepting new patients

Locations

265 Madison Ave
Fl 3
New York, NY 10016
Phone (212) 768-7422

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1285224592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 MADISON AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160971",
            "telephone_number": "614-378-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 MADISON AVE FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160971",
            "telephone_number": "212-768-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAVSKY",
        "first_name": "JARED",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-20",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "062609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.