Organization Active NPI

Alexander Ayzenberg Dentistry PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1447444575
Registry record updated Aug 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
043869 Issued in NY
Legal business name
ALEXANDER AYZENBERG DENTISTRY PC
Practice address
134 Brighton 11TH St
Brooklyn, NY 11235-5327
Phone
(718) 368-3750
Fax
(718) 368-3751
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2007

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

Authorized official

Name
Alexander AyzenbergNPI 1700803459
Title
President
Phone
(718) 368-3750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 043869 NY Primary

Addresses

Primary practice location

134 Brighton 11TH St
Brooklyn, NY 11235-5327

Mailing address

134 Brighton 11TH St
Brooklyn, NY 11235-5327
Phone (718) 368-3750

Other identifiers 1

IdentifierTypeStateIssuer
01284344MedicaidNY

National Provider Directory

National Provider Directory

Locations

134 Brighton 11th St
Brooklyn, NY 11235
Phone (718) 368-3750

Practitioners & affiliated clinicians

Practitioners 3

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": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1447444575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BRIGHTON 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355327",
            "telephone_number": "718-368-3750",
            "fax_number": "718-368-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 BRIGHTON 11TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112355327",
            "telephone_number": "718-368-3750",
            "fax_number": "718-368-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER AYZENBERG DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "AYZENBERG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-368-3750"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01284344",
            "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 Aug 31, 2007; 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.