Individual provider Active NPI

Svetlana Orit Faradjewa, DDS

  • General Practice Dentistry
  • New York, NY
National Provider Identifier
1427726066
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
063810 Issued in NY
Practice address
14 E 60TH St Ste 905
New York, NY 10022-1006
Phone
(212) 507-9905
NPI assigned
Aug 30, 2021
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22DI02862200 NJ
General Practice Dentistry 1223G0001X 063810 NY Primary

Addresses

Primary practice location

14 E 60TH St Ste 905
New York, NY 10022-1006

Mailing address

14 E 60TH St Ste 905
New York, NY 10022-1006
Phone (212) 507-9905

Other practice location 1

1771 Madison Ave
Lakewood, NJ 08701-1242
Phone (732) 364-2144

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
22DI02862200NJMDGeneral Practice Dentistry
063810NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Faradjewa Dental Nyc PLLC General Practice CurrentSince Jul 28, 2025 Accepting new patients

Locations

14 E 60th St
Ste 905
New York, NY 10022
Phone (212) 507-9905

Interoperability endpoints

  • Direct secure messaging: svetlana.faradjewa@chemed.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1427726066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E 60TH ST STE 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221006",
            "telephone_number": "212-507-9905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 60TH ST STE 905",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221006",
            "telephone_number": "212-507-9905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1771 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087011242",
            "country_code": "US",
            "telephone_number": "732-364-2144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARADJEWA",
        "first_name": "SVETLANA",
        "middle_name": "ORIT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02862200",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "063810",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 28, 2025; 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.