Active NPI
Genia Helene Kaminetzky, D.M.D.
- Dentist
- New York, NY
National Provider Identifier
1447489059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 042506-1
- Practice address
- 101 Avenue of the Americas
New York, NY 10013-1941 - Phone
- (212) 388-3737
- Fax
- (212) 388-3156
- NPI assigned
- Jul 6, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 042506-1 | NY | Primary |
| Dentist | 122300000X | D17113 | NJ |
Addresses
Primary practice location
101 Avenue of the Americas
New York, NY 10013-1941
Mailing address
584 Rutland Ave
Teaneck, NJ 07666-2924
Phone (201) 836-4872
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
| License | State | Type | Specialty |
|---|---|---|---|
| D17113 | NJ | MD | Dentist |
| 042506-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246838400000",
"number": "1447489059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 RUTLAND AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076662924",
"telephone_number": "201-836-4872",
"fax_number": "201-836-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 AVENUE OF THE AMERICAS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100131941",
"telephone_number": "212-388-3737",
"fax_number": "212-388-3156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMINETZKY",
"first_name": "GENIA",
"middle_name": "HELENE",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-06",
"last_updated": "2009-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "042506-1",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "D17113",
"primary": false
}
],
"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 Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.