Individual provider Active NPI

Yana Zamechek

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1407900285
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044856-1 Issued in NY
Practice address
1022 E 163Rd St
Bronx, NY 10459-4309
Phone
(718) 542-2088
Fax
(718) 542-2053
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044856-1 NY Primary

Addresses

Primary practice location

1022 E 163Rd St
Bronx, NY 10459-4309

Mailing address

112 Brown Cir
Paramus, NJ 07652-5239
Phone (201) 368-0539

Other identifiers 1

IdentifierTypeStateIssuer
01469185MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151008000416 NY Order and Referring Only - DentistPractitioner - Dentist 4880902055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044856-1NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Smiles LLC General Practice PastSince Nov 8, 2020 Accepting new patients
Sethi Dental General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yana.zamechek@rhcnys.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1407900285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BROWN CIR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076525239",
            "telephone_number": "201-368-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E 163RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594309",
            "telephone_number": "718-542-2088",
            "fax_number": "718-542-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMECHEK",
        "first_name": "YANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "044856-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01469185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.