Individual provider Active NPI

Yana Nemtseva, D.D.S.

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1306069554
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
050988 Issued in NY
Practice address
2001 Avenue P Apt A4
Brooklyn, NY 11229-1420
Phone
(718) 339-8400
Fax
(718) 998-5708
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 050988 NY Primary

Addresses

Primary practice location

2001 Avenue P Apt A4
Brooklyn, NY 11229-1420

Mailing address

2001 Avenue P Apt A4
Brooklyn, NY 11229-1420
Phone (718) 339-8400

Other identifiers 1

IdentifierTypeStateIssuer
02554007MedicaidNY

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
050988NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306069554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 AVENUE P APT A4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291420",
            "telephone_number": "718-339-8400",
            "fax_number": "718-998-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 AVENUE P APT A4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291420",
            "telephone_number": "718-339-8400",
            "fax_number": "718-998-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMTSEVA",
        "first_name": "YANA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "050988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02554007",
            "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 Jul 9, 2007; 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.