Natalya Kondratyeva, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS029186L Issued in PA

Practice address

433 Market St Ste 102
Camden, NJ 08102

Phone

(856) 963-0315

NPI assigned

Oct 20, 2005

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Magic Dental Camden, LLC

  • General Practice Dentistry
  • Camden, NJ
  • NPI 1235610882
  NPD Authorized official
• MDS Management, Inc.

  • General Practice Dentistry
  • Camden, NJ
  • NPI 1184779985
  NPD Authorized official

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1316936479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 SECOND STREET PIKE #396",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189662425",
            "telephone_number": "215-745-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 MARKET ST STE 102",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08102",
            "telephone_number": "856-963-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "352 Second Street Pike #396",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "PA",
            "postal_code": "189662425",
            "country_code": "US",
            "telephone_number": "215-745-5734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Lawrenceville Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrence Township",
            "state": "NJ",
            "postal_code": "086484307",
            "country_code": "US",
            "telephone_number": "609-599-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONDRATYEVA",
        "first_name": "NATALYA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-20",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS029186L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE",
            "identifier": "0014964000001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0617415",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "0001749",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hope Koene
• Stanton Kofsky, M.D.
• Kavitha Rose Kolangaden, PA-C
• Jonathan Kolansky, MD
• Kommunity Kares, Inc.
• Jennifer E Konek, APN
• Frank C Koniges, MD
• Sandra Anne Kopp, M.D.
• Phillip A Koren, MD
• Savanah Korzeniewski

• General Practice Dentistry in Camden, NJ
• Providers in Camden, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.