Active NPI
Vladimir Dranovsky, DDS
- Dentist
- Brooklyn, NY
National Provider Identifier
1427046440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DI20129
- Practice address
- 425 Neptune Ave Apt 18D
Brooklyn, NY 11224-4582 - Phone
- (646) 371-0111
- NPI assigned
- Oct 13, 2005
- Last updated
- Dec 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 047116 | NY | |
| Dentist | 122300000X | DI20129 | NJ | Primary |
Addresses
Primary practice location
425 Neptune Ave Apt 18D
Brooklyn, NY 11224-4582
Mailing address
2952 Brighton 3Rd St Ste 201
Brooklyn, NY 11235-7078
Phone (718) 975-4334
Other practice location 1
175 Newark Ave
Grove Street Dental, P.C. 2-nd floor, suite 2-B
Jersey City, NJ 07302-2859
Phone (201) 200-0222
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 |
|---|---|---|---|---|
| I20040408001415 | NY | Practitioner - Oral Surgery | 6709870280 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DI20129 | NJ | MD | Dentist |
| 047116 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grove Street Dental PC | Past | Accepting new patients | |
| Grove Street Dental Care PC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Jersey City, NJ
- NPI 1184737496
-
dba Grove Dental Center
- General Practice Dentistry
- Jersey City, NJ
- NPI 1780990622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1427046440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2952 BRIGHTON 3RD ST STE 201",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357078",
"telephone_number": "718-975-4334",
"fax_number": "718-947-4334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 NEPTUNE AVE APT 18D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112244582",
"telephone_number": "646-371-0111"
}
],
"practiceLocations": [
{
"address_1": "175 Newark Ave",
"address_2": "Grove Street Dental, P.C. 2-nd floor, suite 2-B",
"address_purpose": "LOCATION",
"city": "Jersey City",
"state": "NJ",
"postal_code": "073022859",
"country_code": "US",
"telephone_number": "201-200-0222",
"fax_number": "201-435-7678",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DRANOVSKY",
"first_name": "VLADIMIR",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "047116",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "DI20129",
"primary": true
}
],
"identifiers": [],
"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, 2023; 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.