Organization Active NPI

Starrett City Dental Group Associates, PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1437458270
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
054029 Issued in NY
Legal business name
STARRETT CITY DENTAL GROUP ASSOCIATES, PC
Practice address
1390 Pennsylvania Ave FL 2
Brooklyn, NY 11239-2103
Phone
(718) 642-8600
NPI assigned
Mar 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Stella Aminov, DDS
Title
Dentist
Phone
(718) 873-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 054029 NY Primary

Addresses

Primary practice location

1390 Pennsylvania Ave FL 2
Brooklyn, NY 11239-2103

Mailing address

1390 Pennsylvania Ave FL 2
Brooklyn, NY 11239-2103
Phone (718) 642-8600

National Provider Directory

National Provider Directory

Locations

1390 Pennsylvania Ave
Fl 2
Brooklyn, NY 11239
Phone (718) 642-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1437458270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 PENNSYLVANIA AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392103",
            "telephone_number": "718-642-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 PENNSYLVANIA AVE FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392103",
            "telephone_number": "718-642-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARRETT CITY DENTAL GROUP ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "AMINOV",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "718-873-4550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "054029",
            "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 Mar 18, 2011; 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.