Active NPI
Jeffry Nirenstein, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1376631523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 047241
- Practice address
- 2841 Bragg Street
Jeffry Nirenstein Dental PC
Brooklyn, NY 11235 - Phone
- (718) 769-2400
- Fax
- (718) 769-6222
- NPI assigned
- Oct 11, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 047241 | NY | Primary |
Addresses
Primary practice location
2841 Bragg Street
Jeffry Nirenstein Dental PC
Brooklyn, NY 11235
Mailing address
461 Park Ave South
Jeffry Nirenstein Dental PC Suite 800
New York, NY 10016
Phone (212) 532-7770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01763771 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160601001971 | NY | Order and Referring Only - Dentist | 1557651635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffry Nirenstein Dental PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Brooklyn, NY
- NPI 1912172511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376631523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 PARK AVE SOUTH",
"address_2": "JEFFRY NIRENSTEIN DENTAL PC SUITE 800",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "212-532-7770",
"fax_number": "212-532-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2841 BRAGG STREET",
"address_2": "JEFFRY NIRENSTEIN DENTAL PC",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11235",
"telephone_number": "718-769-2400",
"fax_number": "718-769-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIRENSTEIN",
"first_name": "JEFFRY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "047241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01763771",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.