Individual provider Active NPI

Aleksandr Soyfer, DDS

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1326221730
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048907-1 Issued in NY
Practice address
115 Brightwater CT
1G
Brooklyn, NY 11235-7652
Phone
(917) 834-3998
NPI assigned
Dec 7, 2007
Last updated
Dec 7, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 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 048907-1 NY Primary

Addresses

Primary practice location

115 Brightwater CT
1G
Brooklyn, NY 11235-7652

Mailing address

60 Oceana Dr W
#5A
Brooklyn, NY 11235-6662
Phone (917) 834-3998

Other identifiers 1

IdentifierTypeStateIssuer
02074142MedicaidNY

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
048907-1NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1326221730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 OCEANA DR W",
            "address_2": "#5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356662",
            "telephone_number": "917-834-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BRIGHTWATER CT",
            "address_2": "1G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357652",
            "telephone_number": "917-834-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOYFER",
        "first_name": "ALEKSANDR",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-07",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "048907-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02074142",
            "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 Dec 7, 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.