Organization Active NPI

Gregory Osyelkin DDS & Yana Coren DDS

  • Dentist
  • New York, NY
National Provider Identifier
1366572018
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
033389 Issued in NY
Legal business name
GREGORY OSYELKIN DDS & YANA COREN DDS
Practice address
4290 Broadway
New York, NY 10033-3732
Phone
(212) 781-0166
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Yana Coren, DDS
Title
Owner
Phone
(212) 781-0166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 033389 NY Primary

Addresses

Primary practice location

4290 Broadway
New York, NY 10033-3732

Mailing address

4290 Broadway
New York, NY 10033-3732
Phone (212) 781-0166

Other identifiers 1

IdentifierTypeStateIssuer
02412100MedicaidNY

National Provider Directory

National Provider Directory

Locations

4290 Broadway
New York, NY 10033
Phone (212) 781-0166

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1366572018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333732",
            "telephone_number": "212-781-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100333732",
            "telephone_number": "212-781-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY OSYELKIN DDS & YANA COREN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "COREN",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-781-0166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "033389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02412100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.