NPIMap

Organization Active NPI

Roman Trakhtenberg DDS PLLC

  • Dentist
  • New York, NY
National Provider Identifier
1447705686
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048697 Issued in NY
Legal business name
ROMAN TRAKHTENBERG DDS PLLC
Practice address
520 E 81St St
Apt 6C
New York, NY 10028-7095
Phone
(917) 715-6456
NPI assigned
Aug 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Roman TrakhtenbergNPI 1528280245
Title
Owner
Phone
(917) 715-6456

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 048697 NY Primary

Addresses

Primary practice location

520 E 81St St
Apt 6C
New York, NY 10028-7095

Mailing address

520 E 81St St
Apt 6C
New York, NY 10028-7095
Phone (917) 715-6456

National Provider Directory

National Provider Directory

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": "1471392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1447705686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 81ST ST",
            "address_2": "APT 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287095",
            "telephone_number": "917-715-6456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 81ST ST",
            "address_2": "APT 6C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287095",
            "telephone_number": "917-715-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN TRAKHTENBERG DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-17",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "TRAKHTENBERG",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-715-6456"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "048697",
            "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 Aug 17, 2016; 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.